Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions
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<ConceptMap xmlns="http://hl7.org/fhir">
<id value="R5-ExplanationOfBenefit-element-map-to-R4"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R5-ExplanationOfBenefit-element-map-to-R4</b></p><a name="R5-ExplanationOfBenefit-element-map-to-R4"> </a><a name="hcR5-ExplanationOfBenefit-element-map-to-R4"> </a><p>Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="http://hl7.org/fhir/R4/explanationofbenefit.html">ExplanationOfBenefitversion: 4.0.1)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.meta (meta)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.meta</td><td>Element `ExplanationOfBenefit.meta` is mapped to FHIR R4 element `ExplanationOfBenefit.meta` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.implicitRules (implicitRules)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.implicitRules</td><td>Element `ExplanationOfBenefit.implicitRules` is mapped to FHIR R4 element `ExplanationOfBenefit.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.</td></tr><tr><td>ExplanationOfBenefit.language (language)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.language</td><td>Element `ExplanationOfBenefit.language` is mapped to FHIR R4 element `ExplanationOfBenefit.language` as `Equivalent`.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).</td></tr><tr><td>ExplanationOfBenefit.text (text)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.text</td><td>Element `ExplanationOfBenefit.text` is mapped to FHIR R4 element `ExplanationOfBenefit.text` as `Equivalent`.
Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.</td></tr><tr><td>ExplanationOfBenefit.contained (contained)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.contained</td><td>Element `ExplanationOfBenefit.contained` is mapped to FHIR R4 element `ExplanationOfBenefit.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.</td></tr><tr><td>ExplanationOfBenefit.identifier (identifier)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.identifier</td><td>Element `ExplanationOfBenefit.identifier` is mapped to FHIR R4 element `ExplanationOfBenefit.identifier` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.status (status)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.status</td><td>Element `ExplanationOfBenefit.status` is mapped to FHIR R4 element `ExplanationOfBenefit.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.</td></tr><tr><td>ExplanationOfBenefit.type (type)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.type</td><td>Element `ExplanationOfBenefit.type` is mapped to FHIR R4 element `ExplanationOfBenefit.type` as `Equivalent`.
The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements.</td></tr><tr><td>ExplanationOfBenefit.subType (subType)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.subType</td><td>Element `ExplanationOfBenefit.subType` is mapped to FHIR R4 element `ExplanationOfBenefit.subType` as `Equivalent`.
This may contain the local bill type codes such as the US UB-04 bill type code.</td></tr><tr><td>ExplanationOfBenefit.use (use)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.use</td><td>Element `ExplanationOfBenefit.use` is mapped to FHIR R4 element `ExplanationOfBenefit.use` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.patient (patient)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.patient</td><td>Element `ExplanationOfBenefit.patient` is mapped to FHIR R4 element `ExplanationOfBenefit.patient` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.billablePeriod (billablePeriod)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.billablePeriod</td><td>Element `ExplanationOfBenefit.billablePeriod` is mapped to FHIR R4 element `ExplanationOfBenefit.billablePeriod` as `Equivalent`.
Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified.</td></tr><tr><td>ExplanationOfBenefit.created (created)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.created</td><td>Element `ExplanationOfBenefit.created` is mapped to FHIR R4 element `ExplanationOfBenefit.created` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.enterer (enterer)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.enterer</td><td>Element `ExplanationOfBenefit.enterer` is mapped to FHIR R4 element `ExplanationOfBenefit.enterer` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ExplanationOfBenefit.enterer` with unmapped reference targets: Patient, RelatedPerson.</td></tr><tr><td>ExplanationOfBenefit.insurer (insurer)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.insurer</td><td>Element `ExplanationOfBenefit.insurer` is mapped to FHIR R4 element `ExplanationOfBenefit.insurer` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.provider (provider)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.provider</td><td>Element `ExplanationOfBenefit.provider` is mapped to FHIR R4 element `ExplanationOfBenefit.provider` as `Equivalent`.
Typically this field would be 1..1 where this party is accountable for the data content within the claim but is not necessarily the facility, provider group or practitioner who provided the products and services listed within this claim resource. This field is the Billing Provider, for example, a facility, provider group, lab or practitioner.</td></tr><tr><td>ExplanationOfBenefit.priority (priority)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.priority</td><td>Element `ExplanationOfBenefit.priority` is mapped to FHIR R4 element `ExplanationOfBenefit.priority` as `Equivalent`.
If a claim processor is unable to complete the processing as per the priority then they should generate an error and not process the request.</td></tr><tr><td>ExplanationOfBenefit.fundsReserveRequested (fundsReserveRequested)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.fundsReserveRequested</td><td>Element `ExplanationOfBenefit.fundsReserveRequested` is mapped to FHIR R4 element `ExplanationOfBenefit.fundsReserveRequested` as `Equivalent`.
This field is only used for preauthorizations.</td></tr><tr><td>ExplanationOfBenefit.fundsReserve (fundsReserve)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.fundsReserve</td><td>Element `ExplanationOfBenefit.fundsReserve` is mapped to FHIR R4 element `ExplanationOfBenefit.fundsReserve` as `Equivalent`.
Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.</td></tr><tr><td>ExplanationOfBenefit.related (related)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.related</td><td>Element `ExplanationOfBenefit.related` is mapped to FHIR R4 element `ExplanationOfBenefit.related` as `Equivalent`.
For example, for the original treatment and follow-up exams.</td></tr><tr><td>ExplanationOfBenefit.related.claim (claim)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.related.claim</td><td>Element `ExplanationOfBenefit.related.claim` is mapped to FHIR R4 element `ExplanationOfBenefit.related.claim` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.related.relationship (relationship)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.related.relationship</td><td>Element `ExplanationOfBenefit.related.relationship` is mapped to FHIR R4 element `ExplanationOfBenefit.related.relationship` as `Equivalent`.
For example, prior claim or umbrella.</td></tr><tr><td>ExplanationOfBenefit.related.reference (reference)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.related.reference</td><td>Element `ExplanationOfBenefit.related.reference` is mapped to FHIR R4 element `ExplanationOfBenefit.related.reference` as `Equivalent`.
For example, Property/Casualty insurer claim number or Workers Compensation case number.</td></tr><tr><td>ExplanationOfBenefit.prescription (prescription)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.prescription</td><td>Element `ExplanationOfBenefit.prescription` is mapped to FHIR R4 element `ExplanationOfBenefit.prescription` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.originalPrescription (originalPrescription)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.originalPrescription</td><td>Element `ExplanationOfBenefit.originalPrescription` is mapped to FHIR R4 element `ExplanationOfBenefit.originalPrescription` as `Equivalent`.
For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.</td></tr><tr><td>ExplanationOfBenefit.payee (payee)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.payee</td><td>Element `ExplanationOfBenefit.payee` is mapped to FHIR R4 element `ExplanationOfBenefit.payee` as `Equivalent`.
Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead.</td></tr><tr><td>ExplanationOfBenefit.payee.type (type)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.payee.type</td><td>Element `ExplanationOfBenefit.payee.type` is mapped to FHIR R4 element `ExplanationOfBenefit.payee.type` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.payee.party (party)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.payee.party</td><td>Element `ExplanationOfBenefit.payee.party` is mapped to FHIR R4 element `ExplanationOfBenefit.payee.party` as `Equivalent`.
Not required if the payee is 'subscriber' or 'provider'.</td></tr><tr><td>ExplanationOfBenefit.referral (referral)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.referral</td><td>Element `ExplanationOfBenefit.referral` is mapped to FHIR R4 element `ExplanationOfBenefit.referral` as `Equivalent`.
The referral resource which lists the date, practitioner, reason and other supporting information.</td></tr><tr><td>ExplanationOfBenefit.facility (facility)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.facility</td><td>Element `ExplanationOfBenefit.facility` is mapped to FHIR R4 element `ExplanationOfBenefit.facility` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.facility` do not cover the following types based on type expansion: display, identifier, reference, type.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ExplanationOfBenefit.facility` with unmapped reference targets: Organization.</td></tr><tr><td>ExplanationOfBenefit.claim (claim)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.claim</td><td>Element `ExplanationOfBenefit.claim` is mapped to FHIR R4 element `ExplanationOfBenefit.claim` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.claimResponse (claimResponse)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.claimResponse</td><td>Element `ExplanationOfBenefit.claimResponse` is mapped to FHIR R4 element `ExplanationOfBenefit.claimResponse` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.outcome (outcome)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.outcome</td><td>Element `ExplanationOfBenefit.outcome` is mapped to FHIR R4 element `ExplanationOfBenefit.outcome` as `Equivalent`.
The resource may be used to indicate that the Claim/Preauthorization/Pre-determination has been received but processing has not begun (queued); that it has been processed and one or more errors have been detected (error); no errors were detected and some of the adjudication processing has been performed (partial); or all of the adjudication processing has completed without errors (complete).</td></tr><tr><td>ExplanationOfBenefit.disposition (disposition)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.disposition</td><td>Element `ExplanationOfBenefit.disposition` is mapped to FHIR R4 element `ExplanationOfBenefit.disposition` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.preAuthRef (preAuthRef)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.preAuthRef</td><td>Element `ExplanationOfBenefit.preAuthRef` is mapped to FHIR R4 element `ExplanationOfBenefit.preAuthRef` as `Equivalent`.
This value is only present on preauthorization adjudications.</td></tr><tr><td>ExplanationOfBenefit.preAuthRefPeriod (preAuthRefPeriod)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.preAuthRefPeriod</td><td>Element `ExplanationOfBenefit.preAuthRefPeriod` is mapped to FHIR R4 element `ExplanationOfBenefit.preAuthRefPeriod` as `Equivalent`.
This value is only present on preauthorization adjudications.</td></tr><tr><td>ExplanationOfBenefit.careTeam (careTeam)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.careTeam</td><td>Element `ExplanationOfBenefit.careTeam` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.careTeam.sequence (sequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.careTeam.sequence</td><td>Element `ExplanationOfBenefit.careTeam.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam.sequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.careTeam.provider (provider)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.careTeam.provider</td><td>Element `ExplanationOfBenefit.careTeam.provider` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam.provider` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.careTeam.responsible (responsible)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.careTeam.responsible</td><td>Element `ExplanationOfBenefit.careTeam.responsible` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam.responsible` as `Equivalent`.
Responsible might not be required when there is only a single provider listed.</td></tr><tr><td>ExplanationOfBenefit.careTeam.role (role)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.careTeam.role</td><td>Element `ExplanationOfBenefit.careTeam.role` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam.role` as `Equivalent`.
Role might not be required when there is only a single provider listed.</td></tr><tr><td>ExplanationOfBenefit.careTeam.specialty (specialty)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.careTeam.qualification</td><td>Element `ExplanationOfBenefit.careTeam.specialty` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam.qualification` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.supportingInfo (supportingInfo)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.supportingInfo</td><td>Element `ExplanationOfBenefit.supportingInfo` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo` as `Equivalent`.
Often there are multiple jurisdiction specific valuesets which are required.</td></tr><tr><td>ExplanationOfBenefit.supportingInfo.sequence (sequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.supportingInfo.sequence</td><td>Element `ExplanationOfBenefit.supportingInfo.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.sequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.supportingInfo.category (category)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.supportingInfo.category</td><td>Element `ExplanationOfBenefit.supportingInfo.category` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.category` as `Equivalent`.
This may contain a category for the local bill type codes.</td></tr><tr><td>ExplanationOfBenefit.supportingInfo.code (code)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.supportingInfo.code</td><td>Element `ExplanationOfBenefit.supportingInfo.code` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.code` as `Equivalent`.
This may contain the local bill type codes such as the US UB-04 bill type code.</td></tr><tr><td>ExplanationOfBenefit.supportingInfo.timing[x] (timing[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.supportingInfo.timing[x]</td><td>Element `ExplanationOfBenefit.supportingInfo.timing[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.timing[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.supportingInfo.timing[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.supportingInfo`.</td></tr><tr><td>ExplanationOfBenefit.supportingInfo.value[x] (value[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.supportingInfo.value[x]</td><td>Element `ExplanationOfBenefit.supportingInfo.value[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.supportingInfo.value[x]` do not cover the following types: Identifier.
The target context `ExplanationOfBenefit.supportingInfo.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.supportingInfo`.
Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident.</td></tr><tr><td>ExplanationOfBenefit.supportingInfo.reason (reason)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.supportingInfo.reason</td><td>Element `ExplanationOfBenefit.supportingInfo.reason` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.reason` as `Equivalent`.
For example: the reason for the additional stay, or why a tooth is missing.</td></tr><tr><td>ExplanationOfBenefit.diagnosis (diagnosis)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.diagnosis</td><td>Element `ExplanationOfBenefit.diagnosis` is mapped to FHIR R4 element `ExplanationOfBenefit.diagnosis` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.diagnosis.sequence (sequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.diagnosis.sequence</td><td>Element `ExplanationOfBenefit.diagnosis.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.diagnosis.sequence` as `Equivalent`.
Diagnosis are presented in list order to their expected importance: primary, secondary, etc.</td></tr><tr><td>ExplanationOfBenefit.diagnosis.diagnosis[x] (diagnosis[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.diagnosis.diagnosis[x]</td><td>Element `ExplanationOfBenefit.diagnosis.diagnosis[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.diagnosis.diagnosis[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.diagnosis.diagnosis[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.diagnosis`.</td></tr><tr><td>ExplanationOfBenefit.diagnosis.type (type)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.diagnosis.type</td><td>Element `ExplanationOfBenefit.diagnosis.type` is mapped to FHIR R4 element `ExplanationOfBenefit.diagnosis.type` as `Equivalent`.
For example: admitting, primary, secondary, discharge.</td></tr><tr><td>ExplanationOfBenefit.diagnosis.onAdmission (onAdmission)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.diagnosis.onAdmission</td><td>Element `ExplanationOfBenefit.diagnosis.onAdmission` is mapped to FHIR R4 element `ExplanationOfBenefit.diagnosis.onAdmission` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.procedure (procedure)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.procedure</td><td>Element `ExplanationOfBenefit.procedure` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.procedure.sequence (sequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.procedure.sequence</td><td>Element `ExplanationOfBenefit.procedure.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure.sequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.procedure.type (type)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.procedure.type</td><td>Element `ExplanationOfBenefit.procedure.type` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure.type` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.procedure.date (date)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.procedure.date</td><td>Element `ExplanationOfBenefit.procedure.date` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure.date` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.procedure.procedure[x] (procedure[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.procedure.procedure[x]</td><td>Element `ExplanationOfBenefit.procedure.procedure[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure.procedure[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.procedure.procedure[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.procedure`.</td></tr><tr><td>ExplanationOfBenefit.procedure.udi (udi)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.procedure.udi</td><td>Element `ExplanationOfBenefit.procedure.udi` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure.udi` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.precedence (precedence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.precedence</td><td>Element `ExplanationOfBenefit.precedence` is mapped to FHIR R4 element `ExplanationOfBenefit.precedence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.insurance (insurance)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.insurance</td><td>Element `ExplanationOfBenefit.insurance` is mapped to FHIR R4 element `ExplanationOfBenefit.insurance` as `Equivalent`.
All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.</td></tr><tr><td>ExplanationOfBenefit.insurance.focal (focal)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.insurance.focal</td><td>Element `ExplanationOfBenefit.insurance.focal` is mapped to FHIR R4 element `ExplanationOfBenefit.insurance.focal` as `Equivalent`.
A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.</td></tr><tr><td>ExplanationOfBenefit.insurance.coverage (coverage)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.insurance.coverage</td><td>Element `ExplanationOfBenefit.insurance.coverage` is mapped to FHIR R4 element `ExplanationOfBenefit.insurance.coverage` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.insurance.preAuthRef (preAuthRef)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.insurance.preAuthRef</td><td>Element `ExplanationOfBenefit.insurance.preAuthRef` is mapped to FHIR R4 element `ExplanationOfBenefit.insurance.preAuthRef` as `Equivalent`.
This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.</td></tr><tr><td>ExplanationOfBenefit.accident (accident)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.accident</td><td>Element `ExplanationOfBenefit.accident` is mapped to FHIR R4 element `ExplanationOfBenefit.accident` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.accident.date (date)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.accident.date</td><td>Element `ExplanationOfBenefit.accident.date` is mapped to FHIR R4 element `ExplanationOfBenefit.accident.date` as `Equivalent`.
The date of the accident has to precede the dates of the products and services but within a reasonable timeframe.</td></tr><tr><td>ExplanationOfBenefit.accident.type (type)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.accident.type</td><td>Element `ExplanationOfBenefit.accident.type` is mapped to FHIR R4 element `ExplanationOfBenefit.accident.type` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.accident.location[x] (location[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.accident.location[x]</td><td>Element `ExplanationOfBenefit.accident.location[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.accident.location[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.accident.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.accident`.</td></tr><tr><td>ExplanationOfBenefit.item (item)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.item</td><td>Element `ExplanationOfBenefit.item` is mapped to FHIR R4 element `ExplanationOfBenefit.item` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.sequence (sequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.sequence</td><td>Element `ExplanationOfBenefit.item.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.sequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.careTeamSequence (careTeamSequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.careTeamSequence</td><td>Element `ExplanationOfBenefit.item.careTeamSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.careTeamSequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.diagnosisSequence (diagnosisSequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.diagnosisSequence</td><td>Element `ExplanationOfBenefit.item.diagnosisSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.diagnosisSequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.procedureSequence (procedureSequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.procedureSequence</td><td>Element `ExplanationOfBenefit.item.procedureSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.procedureSequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.informationSequence (informationSequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.informationSequence</td><td>Element `ExplanationOfBenefit.item.informationSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.informationSequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.revenue (revenue)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.revenue</td><td>Element `ExplanationOfBenefit.item.revenue` is mapped to FHIR R4 element `ExplanationOfBenefit.item.revenue` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.category (category)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.category</td><td>Element `ExplanationOfBenefit.item.category` is mapped to FHIR R4 element `ExplanationOfBenefit.item.category` as `Equivalent`.
Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.</td></tr><tr><td>ExplanationOfBenefit.item.productOrService (productOrService)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.productOrService</td><td>Element `ExplanationOfBenefit.item.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.item.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.</td></tr><tr><td>ExplanationOfBenefit.item.modifier (modifier)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.modifier</td><td>Element `ExplanationOfBenefit.item.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.item.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.</td></tr><tr><td>ExplanationOfBenefit.item.programCode (programCode)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.programCode</td><td>Element `ExplanationOfBenefit.item.programCode` is mapped to FHIR R4 element `ExplanationOfBenefit.item.programCode` as `Equivalent`.
For example: Neonatal program, child dental program or drug users recovery program.</td></tr><tr><td>ExplanationOfBenefit.item.serviced[x] (serviced[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.serviced[x]</td><td>Element `ExplanationOfBenefit.item.serviced[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.item.serviced[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.item.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`.</td></tr><tr><td>ExplanationOfBenefit.item.location[x] (location[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.location[x]</td><td>Element `ExplanationOfBenefit.item.location[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.item.location[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.item.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`.</td></tr><tr><td>ExplanationOfBenefit.item.quantity (quantity)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.quantity</td><td>Element `ExplanationOfBenefit.item.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.item.quantity` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.unitPrice (unitPrice)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.unitPrice</td><td>Element `ExplanationOfBenefit.item.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.item.unitPrice` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.factor (factor)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.factor</td><td>Element `ExplanationOfBenefit.item.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.item.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).</td></tr><tr><td>ExplanationOfBenefit.item.net (net)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.net</td><td>Element `ExplanationOfBenefit.item.net` is mapped to FHIR R4 element `ExplanationOfBenefit.item.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.</td></tr><tr><td>ExplanationOfBenefit.item.udi (udi)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.udi</td><td>Element `ExplanationOfBenefit.item.udi` is mapped to FHIR R4 element `ExplanationOfBenefit.item.udi` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.bodySite (bodySite)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.item.bodySite</td><td>Element `ExplanationOfBenefit.item.bodySite` is mapped to FHIR R4 element `ExplanationOfBenefit.item.bodySite` as `SourceIsBroaderThanTarget`.</td></tr><tr><td>ExplanationOfBenefit.item.bodySite.site (site)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item</td><td>Element `ExplanationOfBenefit.item.bodySite.site` is mapped to FHIR R4 element `ExplanationOfBenefit.item` as `Equivalent`.
For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed.</td></tr><tr><td>ExplanationOfBenefit.item.bodySite.subSite (subSite)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.subSite</td><td>Element `ExplanationOfBenefit.item.bodySite.subSite` is mapped to FHIR R4 element `ExplanationOfBenefit.item.subSite` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.encounter (encounter)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.encounter</td><td>Element `ExplanationOfBenefit.item.encounter` is mapped to FHIR R4 element `ExplanationOfBenefit.item.encounter` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.noteNumber (noteNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.noteNumber</td><td>Element `ExplanationOfBenefit.item.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.item.noteNumber` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.adjudication (adjudication)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.item.adjudication</td><td>Element `ExplanationOfBenefit.item.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.adjudication.category (category)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.adjudication.category</td><td>Element `ExplanationOfBenefit.item.adjudication.category` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication.category` as `Equivalent`.
For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.</td></tr><tr><td>ExplanationOfBenefit.item.adjudication.reason (reason)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.adjudication.reason</td><td>Element `ExplanationOfBenefit.item.adjudication.reason` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication.reason` as `Equivalent`.
For example, may indicate that the funds for this benefit type have been exhausted.</td></tr><tr><td>ExplanationOfBenefit.item.adjudication.amount (amount)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.adjudication.amount</td><td>Element `ExplanationOfBenefit.item.adjudication.amount` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication.amount` as `Equivalent`.
For example, amount submitted, eligible amount, co-payment, and benefit payable.</td></tr><tr><td>ExplanationOfBenefit.item.adjudication.quantity (quantity)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.item.adjudication.value</td><td>Element `ExplanationOfBenefit.item.adjudication.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication.value` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.item.adjudication.quantity` do not cover the following types: Quantity.
The mappings for `ExplanationOfBenefit.item.adjudication.quantity` do not cover the following types based on type expansion: code, comparator, system, unit.
For example: eligible percentage or co-payment percentage.</td></tr><tr><td>ExplanationOfBenefit.item.detail (detail)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.item.detail</td><td>Element `ExplanationOfBenefit.item.detail` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.sequence (sequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.sequence</td><td>Element `ExplanationOfBenefit.item.detail.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.sequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.revenue (revenue)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.revenue</td><td>Element `ExplanationOfBenefit.item.detail.revenue` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.revenue` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.category (category)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.category</td><td>Element `ExplanationOfBenefit.item.detail.category` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.category` as `Equivalent`.
Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage.</td></tr><tr><td>ExplanationOfBenefit.item.detail.productOrService (productOrService)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.productOrService</td><td>Element `ExplanationOfBenefit.item.detail.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.</td></tr><tr><td>ExplanationOfBenefit.item.detail.modifier (modifier)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.modifier</td><td>Element `ExplanationOfBenefit.item.detail.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.</td></tr><tr><td>ExplanationOfBenefit.item.detail.programCode (programCode)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.programCode</td><td>Element `ExplanationOfBenefit.item.detail.programCode` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.programCode` as `Equivalent`.
For example: Neonatal program, child dental program or drug users recovery program.</td></tr><tr><td>ExplanationOfBenefit.item.detail.quantity (quantity)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.quantity</td><td>Element `ExplanationOfBenefit.item.detail.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.quantity` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.unitPrice (unitPrice)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.unitPrice</td><td>Element `ExplanationOfBenefit.item.detail.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.unitPrice` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.factor (factor)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.factor</td><td>Element `ExplanationOfBenefit.item.detail.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).</td></tr><tr><td>ExplanationOfBenefit.item.detail.net (net)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.net</td><td>Element `ExplanationOfBenefit.item.detail.net` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.</td></tr><tr><td>ExplanationOfBenefit.item.detail.udi (udi)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.udi</td><td>Element `ExplanationOfBenefit.item.detail.udi` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.udi` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.noteNumber (noteNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.noteNumber</td><td>Element `ExplanationOfBenefit.item.detail.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.noteNumber` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.adjudication (adjudication)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.adjudication</td><td>Element `ExplanationOfBenefit.item.detail.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.adjudication` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail (subDetail)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.item.detail.subDetail</td><td>Element `ExplanationOfBenefit.item.detail.subDetail` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.sequence (sequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.sequence</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.sequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.revenue (revenue)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.revenue</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.revenue` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.revenue` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.category (category)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.category</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.category` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.category` as `Equivalent`.
Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.productOrService (productOrService)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.productOrService</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.modifier (modifier)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.modifier</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.programCode (programCode)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.programCode</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.programCode` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.programCode` as `Equivalent`.
For example: Neonatal program, child dental program or drug users recovery program.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.quantity (quantity)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.quantity</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.quantity` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.unitPrice (unitPrice)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.unitPrice</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.unitPrice` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.factor (factor)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.factor</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.net (net)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.net</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.net` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.udi (udi)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.udi</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.udi` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.udi` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.noteNumber (noteNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.noteNumber</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.noteNumber` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.adjudication (adjudication)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.item.detail.subDetail.adjudication</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.adjudication` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem (addItem)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.addItem</td><td>Element `ExplanationOfBenefit.addItem` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.itemSequence (itemSequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.itemSequence</td><td>Element `ExplanationOfBenefit.addItem.itemSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.itemSequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.detailSequence (detailSequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detailSequence</td><td>Element `ExplanationOfBenefit.addItem.detailSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detailSequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.subDetailSequence (subDetailSequence)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.subDetailSequence</td><td>Element `ExplanationOfBenefit.addItem.subDetailSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.subDetailSequence` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.provider (provider)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.provider</td><td>Element `ExplanationOfBenefit.addItem.provider` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.provider` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.productOrService (productOrService)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.productOrService</td><td>Element `ExplanationOfBenefit.addItem.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.</td></tr><tr><td>ExplanationOfBenefit.addItem.modifier (modifier)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.modifier</td><td>Element `ExplanationOfBenefit.addItem.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.</td></tr><tr><td>ExplanationOfBenefit.addItem.programCode (programCode)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.programCode</td><td>Element `ExplanationOfBenefit.addItem.programCode` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.programCode` as `Equivalent`.
For example: Neonatal program, child dental program or drug users recovery program.</td></tr><tr><td>ExplanationOfBenefit.addItem.serviced[x] (serviced[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.serviced[x]</td><td>Element `ExplanationOfBenefit.addItem.serviced[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.serviced[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.addItem.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.addItem`.</td></tr><tr><td>ExplanationOfBenefit.addItem.location[x] (location[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.location[x]</td><td>Element `ExplanationOfBenefit.addItem.location[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.location[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.addItem.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.addItem`.</td></tr><tr><td>ExplanationOfBenefit.addItem.quantity (quantity)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.quantity</td><td>Element `ExplanationOfBenefit.addItem.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.quantity` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.unitPrice (unitPrice)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.unitPrice</td><td>Element `ExplanationOfBenefit.addItem.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.unitPrice` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.factor (factor)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.factor</td><td>Element `ExplanationOfBenefit.addItem.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).</td></tr><tr><td>ExplanationOfBenefit.addItem.net (net)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.net</td><td>Element `ExplanationOfBenefit.addItem.net` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.</td></tr><tr><td>ExplanationOfBenefit.addItem.bodySite (bodySite)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.addItem.bodySite</td><td>Element `ExplanationOfBenefit.addItem.bodySite` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.bodySite` as `SourceIsBroaderThanTarget`.</td></tr><tr><td>ExplanationOfBenefit.addItem.noteNumber (noteNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.noteNumber</td><td>Element `ExplanationOfBenefit.addItem.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.noteNumber` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.adjudication (adjudication)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.adjudication</td><td>Element `ExplanationOfBenefit.addItem.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.adjudication` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail (detail)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.addItem.detail</td><td>Element `ExplanationOfBenefit.addItem.detail` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.productOrService (productOrService)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.productOrService</td><td>Element `ExplanationOfBenefit.addItem.detail.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.modifier (modifier)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.modifier</td><td>Element `ExplanationOfBenefit.addItem.detail.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.quantity (quantity)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.quantity</td><td>Element `ExplanationOfBenefit.addItem.detail.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.quantity` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.unitPrice (unitPrice)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.unitPrice</td><td>Element `ExplanationOfBenefit.addItem.detail.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.unitPrice` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.factor (factor)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.factor</td><td>Element `ExplanationOfBenefit.addItem.detail.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.net (net)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.net</td><td>Element `ExplanationOfBenefit.addItem.detail.net` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.noteNumber (noteNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.noteNumber</td><td>Element `ExplanationOfBenefit.addItem.detail.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.noteNumber` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.adjudication (adjudication)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.adjudication</td><td>Element `ExplanationOfBenefit.addItem.detail.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.adjudication` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail (subDetail)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.addItem.detail.subDetail</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.productOrService (productOrService)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.subDetail.productOrService</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.modifier (modifier)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.subDetail.modifier</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.quantity (quantity)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.subDetail.quantity</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.quantity` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.unitPrice (unitPrice)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.subDetail.unitPrice</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.factor (factor)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.subDetail.factor</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.net (net)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.subDetail.net</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.net` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.noteNumber (noteNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.subDetail.noteNumber</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.adjudication (adjudication)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.addItem.detail.subDetail.adjudication</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.adjudication (adjudication)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.adjudication</td><td>Element `ExplanationOfBenefit.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.adjudication` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.total (total)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.total</td><td>Element `ExplanationOfBenefit.total` is mapped to FHIR R4 element `ExplanationOfBenefit.total` as `Equivalent`.
Totals for amounts submitted, co-pays, benefits payable etc.</td></tr><tr><td>ExplanationOfBenefit.total.category (category)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.total.category</td><td>Element `ExplanationOfBenefit.total.category` is mapped to FHIR R4 element `ExplanationOfBenefit.total.category` as `Equivalent`.
For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.</td></tr><tr><td>ExplanationOfBenefit.total.amount (amount)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.total.amount</td><td>Element `ExplanationOfBenefit.total.amount` is mapped to FHIR R4 element `ExplanationOfBenefit.total.amount` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.payment (payment)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.payment</td><td>Element `ExplanationOfBenefit.payment` is mapped to FHIR R4 element `ExplanationOfBenefit.payment` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.payment.type (type)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.payment.type</td><td>Element `ExplanationOfBenefit.payment.type` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.type` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.payment.adjustment (adjustment)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.payment.adjustment</td><td>Element `ExplanationOfBenefit.payment.adjustment` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.adjustment` as `Equivalent`.
Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.</td></tr><tr><td>ExplanationOfBenefit.payment.adjustmentReason (adjustmentReason)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.payment.adjustmentReason</td><td>Element `ExplanationOfBenefit.payment.adjustmentReason` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.adjustmentReason` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.payment.date (date)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.payment.date</td><td>Element `ExplanationOfBenefit.payment.date` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.date` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.payment.amount (amount)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.payment.amount</td><td>Element `ExplanationOfBenefit.payment.amount` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.amount` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.payment.identifier (identifier)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.payment.identifier</td><td>Element `ExplanationOfBenefit.payment.identifier` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.identifier` as `Equivalent`.
For example: EFT number or check number.</td></tr><tr><td>ExplanationOfBenefit.formCode (formCode)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.formCode</td><td>Element `ExplanationOfBenefit.formCode` is mapped to FHIR R4 element `ExplanationOfBenefit.formCode` as `Equivalent`.
May be needed to identify specific jurisdictional forms.</td></tr><tr><td>ExplanationOfBenefit.form (form)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.form</td><td>Element `ExplanationOfBenefit.form` is mapped to FHIR R4 element `ExplanationOfBenefit.form` as `Equivalent`.
Needed to permit insurers to include the actual form.</td></tr><tr><td>ExplanationOfBenefit.processNote (processNote)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.processNote</td><td>Element `ExplanationOfBenefit.processNote` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.processNote.number (number)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.processNote.number</td><td>Element `ExplanationOfBenefit.processNote.number` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote.number` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.processNote.type (type)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.processNote.type</td><td>Element `ExplanationOfBenefit.processNote.type` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote.type` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.processNote.type` do not cover the following types: CodeableConcept.
The mappings for `ExplanationOfBenefit.processNote.type` do not cover the following types based on type expansion: coding.</td></tr><tr><td>ExplanationOfBenefit.processNote.text (text)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.processNote.text</td><td>Element `ExplanationOfBenefit.processNote.text` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote.text` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.processNote.language (language)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.processNote.language</td><td>Element `ExplanationOfBenefit.processNote.language` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote.language` as `Equivalent`.
Only required if the language is different from the resource language.</td></tr><tr><td>ExplanationOfBenefit.benefitPeriod (benefitPeriod)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.benefitPeriod</td><td>Element `ExplanationOfBenefit.benefitPeriod` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitPeriod` as `Equivalent`.
Not applicable when use=claim.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance (benefitBalance)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.benefitBalance</td><td>Element `ExplanationOfBenefit.benefitBalance` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance.category (category)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.benefitBalance.category</td><td>Element `ExplanationOfBenefit.benefitBalance.category` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.category` as `Equivalent`.
Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance.excluded (excluded)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.benefitBalance.excluded</td><td>Element `ExplanationOfBenefit.benefitBalance.excluded` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.excluded` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance.name (name)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.benefitBalance.name</td><td>Element `ExplanationOfBenefit.benefitBalance.name` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.name` as `Equivalent`.
For example: MED01, or DENT2.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance.description (description)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.benefitBalance.description</td><td>Element `ExplanationOfBenefit.benefitBalance.description` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.description` as `Equivalent`.
For example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance.network (network)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.benefitBalance.network</td><td>Element `ExplanationOfBenefit.benefitBalance.network` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.network` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance.unit (unit)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.benefitBalance.unit</td><td>Element `ExplanationOfBenefit.benefitBalance.unit` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.unit` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance.term (term)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.benefitBalance.term</td><td>Element `ExplanationOfBenefit.benefitBalance.term` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.term` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance.financial (financial)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ExplanationOfBenefit.benefitBalance.financial</td><td>Element `ExplanationOfBenefit.benefitBalance.financial` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.financial` as `Equivalent`.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance.financial.type (type)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.benefitBalance.financial.type</td><td>Element `ExplanationOfBenefit.benefitBalance.financial.type` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.financial.type` as `Equivalent`.
For example: deductible, visits, benefit amount.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance.financial.allowed[x] (allowed[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.benefitBalance.financial.allowed[x]</td><td>Element `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.benefitBalance.financial`.</td></tr><tr><td>ExplanationOfBenefit.benefitBalance.financial.used[x] (used[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ExplanationOfBenefit.benefitBalance.financial.used[x]</td><td>Element `ExplanationOfBenefit.benefitBalance.financial.used[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.financial.used[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.benefitBalance.financial.used[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.benefitBalance.financial`.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.traceNumber.html">R5: Number for tracking (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.traceNumber (traceNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Number for tracking (new))</td><td>Element `ExplanationOfBenefit.traceNumber` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.event.html">R5: Event information (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.event (event)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Event information (new))</td><td>Element `ExplanationOfBenefit.event` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.event` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr><tr><td>ExplanationOfBenefit.event.type (type)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:type (R5: Specific event (new))</td><td>Element `ExplanationOfBenefit.event.type` is part of an existing definition because parent element `ExplanationOfBenefit.event` requires a cross-version extension.
Element `ExplanationOfBenefit.event.type` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.event.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr><tr><td>ExplanationOfBenefit.event.when[x] (when[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:when (R5: Occurance date or period (new))</td><td>Element `ExplanationOfBenefit.event.when[x]` is part of an existing definition because parent element `ExplanationOfBenefit.event` requires a cross-version extension.
Element `ExplanationOfBenefit.event.when[x]` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.event.when[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.encounter.html">R5: Encounters associated with the listed treatments (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.encounter (encounter)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Encounters associated with the listed treatments (new))</td><td>Element `ExplanationOfBenefit.encounter` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.encounter` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.decision.html">R5: Result of the adjudication (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.decision (decision)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Result of the adjudication (new))</td><td>Element `ExplanationOfBenefit.decision` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.decision` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
The element is used to indicate the current state of the adjudication overall for the claim resource, for example: the request has been held (pended) for adjudication processing, for manual review or other reasons; that it has been processed and will be paid, or the outstanding paid, as submitted (approved); that no amount will be paid (denied); or that some amount between zero and the submitted amoutn will be paid (partial).</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.diagnosisRelatedGroup.html">R5: Package billing code (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.diagnosisRelatedGroup (diagnosisRelatedGroup)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Package billing code (new))</td><td>Element `ExplanationOfBenefit.diagnosisRelatedGroup` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.diagnosisRelatedGroup` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
For example DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would be assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.sup.value.html">R5: value additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.supportingInfo.value[x] (value[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (R5: value additional types)</td><td>Element `ExplanationOfBenefit.supportingInfo.value[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.supportingInfo.value[x]` do not cover the following types: Identifier.
The target context `ExplanationOfBenefit.supportingInfo.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.supportingInfo`.
Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident.</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.patientPaid.html">R5: Paid by the patient (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.patientPaid (patientPaid)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Paid by the patient (new))</td><td>Element `ExplanationOfBenefit.patientPaid` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.traceNumber.html">R5: Number for tracking (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.traceNumber (traceNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Number for tracking (new))</td><td>Element `ExplanationOfBenefit.item.traceNumber` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 10 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.productOrServiceEnd.html">R5: End of a range of codes (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.productOrServiceEnd (productOrServiceEnd)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: End of a range of codes (new))</td><td>Element `ExplanationOfBenefit.item.productOrServiceEnd` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 11 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.request.html">R5: Request or Referral for Service (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.request (request)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Request or Referral for Service (new))</td><td>Element `ExplanationOfBenefit.item.request` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.request` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 12 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.patientPaid.html">R5: Paid by the patient (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.patientPaid (patientPaid)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Paid by the patient (new))</td><td>Element `ExplanationOfBenefit.item.patientPaid` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 13 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.tax.html">R5: Total tax (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.tax (tax)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Total tax (new))</td><td>Element `ExplanationOfBenefit.item.tax` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 14 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.reviewOutcome.html">R5: Adjudication results (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.reviewOutcome (reviewOutcome)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Adjudication results (new))</td><td>Element `ExplanationOfBenefit.item.reviewOutcome` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.reviewOutcome` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr><tr><td>ExplanationOfBenefit.item.reviewOutcome.decision (decision)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:decision (R5: Result of the adjudication (new))</td><td>Element `ExplanationOfBenefit.item.reviewOutcome.decision` is part of an existing definition because parent element `ExplanationOfBenefit.item.reviewOutcome` requires a cross-version extension.
Element `ExplanationOfBenefit.item.reviewOutcome.decision` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.reviewOutcome.decision` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
The element is used to indicate the current state of the adjudication overall for the claim resource, for example: the request has been held (pended) for adjudication processing, for manual review or other reasons; that it has been processed and will be paid, or the outstanding paid, as submitted (approved); that no amount will be paid (denied); or that some amount between zero and the submitted amount will be paid (partial).</td></tr><tr><td>ExplanationOfBenefit.item.reviewOutcome.reason (reason)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:reason (R5: Reason for result of the adjudication (new))</td><td>Element `ExplanationOfBenefit.item.reviewOutcome.reason` is part of an existing definition because parent element `ExplanationOfBenefit.item.reviewOutcome` requires a cross-version extension.
Element `ExplanationOfBenefit.item.reviewOutcome.reason` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.reviewOutcome.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr><tr><td>ExplanationOfBenefit.item.reviewOutcome.preAuthRef (preAuthRef)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:preAuthRef (R5: Preauthorization reference (new))</td><td>Element `ExplanationOfBenefit.item.reviewOutcome.preAuthRef` is part of an existing definition because parent element `ExplanationOfBenefit.item.reviewOutcome` requires a cross-version extension.
Element `ExplanationOfBenefit.item.reviewOutcome.preAuthRef` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.reviewOutcome.preAuthRef` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
This value is only present on preauthorization adjudications.</td></tr><tr><td>ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod (preAuthPeriod)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:preAuthPeriod (R5: Preauthorization reference effective period (new))</td><td>Element `ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod` is part of an existing definition because parent element `ExplanationOfBenefit.item.reviewOutcome` requires a cross-version extension.
Element `ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 15 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.adj.quantity.html">R5: quantity additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.adjudication.quantity (quantity)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: quantity additional types)</td><td>Element `ExplanationOfBenefit.item.adjudication.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication.value` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.item.adjudication.quantity` do not cover the following types: Quantity.
The mappings for `ExplanationOfBenefit.item.adjudication.quantity` do not cover the following types based on type expansion: code, comparator, system, unit.
For example: eligible percentage or co-payment percentage.</td></tr></table><hr/><p><b>Group 16 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.det.traceNumber.html">R5: Number for tracking (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.detail.traceNumber (traceNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Number for tracking (new))</td><td>Element `ExplanationOfBenefit.item.detail.traceNumber` has a context of ExplanationOfBenefit.item.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 17 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.det.productOrServiceEnd.html">R5: End of a range of codes (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.detail.productOrServiceEnd (productOrServiceEnd)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: End of a range of codes (new))</td><td>Element `ExplanationOfBenefit.item.detail.productOrServiceEnd` has a context of ExplanationOfBenefit.item.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 18 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.det.patientPaid.html">R5: Paid by the patient (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.detail.patientPaid (patientPaid)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Paid by the patient (new))</td><td>Element `ExplanationOfBenefit.item.detail.patientPaid` has a context of ExplanationOfBenefit.item.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 19 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.det.tax.html">R5: Total tax (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.detail.tax (tax)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Total tax (new))</td><td>Element `ExplanationOfBenefit.item.detail.tax` has a context of ExplanationOfBenefit.item.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 20 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.det.sub.traceNumber.html">R5: Number for tracking (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.traceNumber (traceNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Number for tracking (new))</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.traceNumber` has a context of ExplanationOfBenefit.item.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.subDetail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 21 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.det.sub.productOrServiceEnd.html">R5: End of a range of codes (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd (productOrServiceEnd)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: End of a range of codes (new))</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd` has a context of ExplanationOfBenefit.item.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 22 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.det.sub.patientPaid.html">R5: Paid by the patient (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.patientPaid (patientPaid)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Paid by the patient (new))</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.patientPaid` has a context of ExplanationOfBenefit.item.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.subDetail.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 23 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.ite.det.sub.tax.html">R5: Total tax (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.item.detail.subDetail.tax (tax)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Total tax (new))</td><td>Element `ExplanationOfBenefit.item.detail.subDetail.tax` has a context of ExplanationOfBenefit.item.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.subDetail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 24 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.traceNumber.html">R5: Number for tracking (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.traceNumber (traceNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Number for tracking (new))</td><td>Element `ExplanationOfBenefit.addItem.traceNumber` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 25 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.revenue.html">R5: Revenue or cost center code (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.revenue (revenue)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Revenue or cost center code (new))</td><td>Element `ExplanationOfBenefit.addItem.revenue` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 26 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.productOrServiceEnd.html">R5: End of a range of codes (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.productOrServiceEnd (productOrServiceEnd)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: End of a range of codes (new))</td><td>Element `ExplanationOfBenefit.addItem.productOrServiceEnd` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 27 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.request.html">R5: Request or Referral for Service (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.request (request)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Request or Referral for Service (new))</td><td>Element `ExplanationOfBenefit.addItem.request` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.request` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 28 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.patientPaid.html">R5: Paid by the patient (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.patientPaid (patientPaid)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Paid by the patient (new))</td><td>Element `ExplanationOfBenefit.addItem.patientPaid` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 29 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.tax.html">R5: Total tax (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.tax (tax)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Total tax (new))</td><td>Element `ExplanationOfBenefit.addItem.tax` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 30 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.bod.site.html">R5: Location (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.bodySite.site (site)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Location (new))</td><td>Element `ExplanationOfBenefit.addItem.bodySite.site` has a context of ExplanationOfBenefit.addItem.bodySite based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.bodySite.site` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
For example, providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed.</td></tr></table><hr/><p><b>Group 31 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.bod.subSite.html">R5: Sub-location (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.bodySite.subSite (subSite)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Sub-location (new))</td><td>Element `ExplanationOfBenefit.addItem.bodySite.subSite` has a context of ExplanationOfBenefit.addItem.bodySite based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.bodySite.subSite` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 32 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.det.traceNumber.html">R5: Number for tracking (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.detail.traceNumber (traceNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Number for tracking (new))</td><td>Element `ExplanationOfBenefit.addItem.detail.traceNumber` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 33 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.det.revenue.html">R5: Revenue or cost center code (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.detail.revenue (revenue)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Revenue or cost center code (new))</td><td>Element `ExplanationOfBenefit.addItem.detail.revenue` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 34 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.det.productOrServiceEnd.html">R5: End of a range of codes (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.detail.productOrServiceEnd (productOrServiceEnd)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: End of a range of codes (new))</td><td>Element `ExplanationOfBenefit.addItem.detail.productOrServiceEnd` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 35 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.det.patientPaid.html">R5: Paid by the patient (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.detail.patientPaid (patientPaid)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Paid by the patient (new))</td><td>Element `ExplanationOfBenefit.addItem.detail.patientPaid` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 36 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.det.tax.html">R5: Total tax (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.detail.tax (tax)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Total tax (new))</td><td>Element `ExplanationOfBenefit.addItem.detail.tax` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 37 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.det.sub.traceNumber.html">R5: Number for tracking (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.traceNumber (traceNumber)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Number for tracking (new))</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.traceNumber` has a context of ExplanationOfBenefit.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.subDetail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 38 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.det.sub.revenue.html">R5: Revenue or cost center code (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.revenue (revenue)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Revenue or cost center code (new))</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.revenue` has a context of ExplanationOfBenefit.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.subDetail.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 39 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.det.sub.productOrServiceEnd.html">R5: End of a range of codes (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd (productOrServiceEnd)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: End of a range of codes (new))</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd` has a context of ExplanationOfBenefit.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 40 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.det.sub.patientPaid.html">R5: Paid by the patient (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.patientPaid (patientPaid)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Paid by the patient (new))</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.patientPaid` has a context of ExplanationOfBenefit.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.subDetail.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 41 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.add.det.sub.tax.html">R5: Total tax (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.addItem.detail.subDetail.tax (tax)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Total tax (new))</td><td>Element `ExplanationOfBenefit.addItem.detail.subDetail.tax` has a context of ExplanationOfBenefit.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.subDetail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 42 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|5.0.0</code> to <a href="StructureDefinition-ext-R5-ExplanationOfBenefit.pro.type.html">R5: Note purpose additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ExplanationOfBenefit.processNote.type (type)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (R5: Note purpose additional types)</td><td>Element `ExplanationOfBenefit.processNote.type` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote.type` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.processNote.type` do not cover the following types: CodeableConcept.
The mappings for `ExplanationOfBenefit.processNote.type` do not cover the following types based on type expansion: coding.</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R5-ExplanationOfBenefit-element-map-to-R4"/>
<version value="0.1.0"/>
<name value="R5ExplanationOfBenefitElementMapToR4"/>
<title
value="Cross-version mapping for FHIR R5 ExplanationOfBenefit to FHIR R4 ExplanationOfBenefit"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:04:45.428619-05:00"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This ConceptMap represents cross-version mappings for elements from a FHIR R5 ExplanationOfBenefit to FHIR R4."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceCanonical value="http://hl7.org/fhir/5.0"/>
<targetUri value="http://hl7.org/fhir/4.0"/>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<targetVersion value="4.0.1"/>
<element>
<code value="ExplanationOfBenefit.meta"/>
<display value="meta"/>
<target>
<code value="ExplanationOfBenefit.meta"/>
<display value="ExplanationOfBenefit.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.meta` is mapped to FHIR R4 element `ExplanationOfBenefit.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.implicitRules"/>
<display value="implicitRules"/>
<target>
<code value="ExplanationOfBenefit.implicitRules"/>
<display value="ExplanationOfBenefit.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.implicitRules` is mapped to FHIR R4 element `ExplanationOfBenefit.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.language"/>
<display value="language"/>
<target>
<code value="ExplanationOfBenefit.language"/>
<display value="ExplanationOfBenefit.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.language` is mapped to FHIR R4 element `ExplanationOfBenefit.language` as `Equivalent`.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.text"/>
<display value="text"/>
<target>
<code value="ExplanationOfBenefit.text"/>
<display value="ExplanationOfBenefit.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.text` is mapped to FHIR R4 element `ExplanationOfBenefit.text` as `Equivalent`.
Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.contained"/>
<display value="contained"/>
<target>
<code value="ExplanationOfBenefit.contained"/>
<display value="ExplanationOfBenefit.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.contained` is mapped to FHIR R4 element `ExplanationOfBenefit.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.identifier"/>
<display value="identifier"/>
<target>
<code value="ExplanationOfBenefit.identifier"/>
<display value="ExplanationOfBenefit.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.identifier` is mapped to FHIR R4 element `ExplanationOfBenefit.identifier` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.status"/>
<display value="status"/>
<target>
<code value="ExplanationOfBenefit.status"/>
<display value="ExplanationOfBenefit.status"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.status` is mapped to FHIR R4 element `ExplanationOfBenefit.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.type"/>
<display value="type"/>
<target>
<code value="ExplanationOfBenefit.type"/>
<display value="ExplanationOfBenefit.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.type` is mapped to FHIR R4 element `ExplanationOfBenefit.type` as `Equivalent`.
The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.subType"/>
<display value="subType"/>
<target>
<code value="ExplanationOfBenefit.subType"/>
<display value="ExplanationOfBenefit.subType"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.subType` is mapped to FHIR R4 element `ExplanationOfBenefit.subType` as `Equivalent`.
This may contain the local bill type codes such as the US UB-04 bill type code."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.use"/>
<display value="use"/>
<target>
<code value="ExplanationOfBenefit.use"/>
<display value="ExplanationOfBenefit.use"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.use` is mapped to FHIR R4 element `ExplanationOfBenefit.use` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.patient"/>
<display value="patient"/>
<target>
<code value="ExplanationOfBenefit.patient"/>
<display value="ExplanationOfBenefit.patient"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.patient` is mapped to FHIR R4 element `ExplanationOfBenefit.patient` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.billablePeriod"/>
<display value="billablePeriod"/>
<target>
<code value="ExplanationOfBenefit.billablePeriod"/>
<display value="ExplanationOfBenefit.billablePeriod"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.billablePeriod` is mapped to FHIR R4 element `ExplanationOfBenefit.billablePeriod` as `Equivalent`.
Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.created"/>
<display value="created"/>
<target>
<code value="ExplanationOfBenefit.created"/>
<display value="ExplanationOfBenefit.created"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.created` is mapped to FHIR R4 element `ExplanationOfBenefit.created` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.enterer"/>
<display value="enterer"/>
<target>
<code value="ExplanationOfBenefit.enterer"/>
<display value="ExplanationOfBenefit.enterer"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.enterer` is mapped to FHIR R4 element `ExplanationOfBenefit.enterer` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ExplanationOfBenefit.enterer` with unmapped reference targets: Patient, RelatedPerson."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.insurer"/>
<display value="insurer"/>
<target>
<code value="ExplanationOfBenefit.insurer"/>
<display value="ExplanationOfBenefit.insurer"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.insurer` is mapped to FHIR R4 element `ExplanationOfBenefit.insurer` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.provider"/>
<display value="provider"/>
<target>
<code value="ExplanationOfBenefit.provider"/>
<display value="ExplanationOfBenefit.provider"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.provider` is mapped to FHIR R4 element `ExplanationOfBenefit.provider` as `Equivalent`.
Typically this field would be 1..1 where this party is accountable for the data content within the claim but is not necessarily the facility, provider group or practitioner who provided the products and services listed within this claim resource. This field is the Billing Provider, for example, a facility, provider group, lab or practitioner."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.priority"/>
<display value="priority"/>
<target>
<code value="ExplanationOfBenefit.priority"/>
<display value="ExplanationOfBenefit.priority"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.priority` is mapped to FHIR R4 element `ExplanationOfBenefit.priority` as `Equivalent`.
If a claim processor is unable to complete the processing as per the priority then they should generate an error and not process the request."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.fundsReserveRequested"/>
<display value="fundsReserveRequested"/>
<target>
<code value="ExplanationOfBenefit.fundsReserveRequested"/>
<display value="ExplanationOfBenefit.fundsReserveRequested"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.fundsReserveRequested` is mapped to FHIR R4 element `ExplanationOfBenefit.fundsReserveRequested` as `Equivalent`.
This field is only used for preauthorizations."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.fundsReserve"/>
<display value="fundsReserve"/>
<target>
<code value="ExplanationOfBenefit.fundsReserve"/>
<display value="ExplanationOfBenefit.fundsReserve"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.fundsReserve` is mapped to FHIR R4 element `ExplanationOfBenefit.fundsReserve` as `Equivalent`.
Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.related"/>
<display value="related"/>
<target>
<code value="ExplanationOfBenefit.related"/>
<display value="ExplanationOfBenefit.related"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.related` is mapped to FHIR R4 element `ExplanationOfBenefit.related` as `Equivalent`.
For example, for the original treatment and follow-up exams."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.related.claim"/>
<display value="claim"/>
<target>
<code value="ExplanationOfBenefit.related.claim"/>
<display value="ExplanationOfBenefit.related.claim"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.related.claim` is mapped to FHIR R4 element `ExplanationOfBenefit.related.claim` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.related.relationship"/>
<display value="relationship"/>
<target>
<code value="ExplanationOfBenefit.related.relationship"/>
<display value="ExplanationOfBenefit.related.relationship"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.related.relationship` is mapped to FHIR R4 element `ExplanationOfBenefit.related.relationship` as `Equivalent`.
For example, prior claim or umbrella."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.related.reference"/>
<display value="reference"/>
<target>
<code value="ExplanationOfBenefit.related.reference"/>
<display value="ExplanationOfBenefit.related.reference"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.related.reference` is mapped to FHIR R4 element `ExplanationOfBenefit.related.reference` as `Equivalent`.
For example, Property/Casualty insurer claim number or Workers Compensation case number."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.prescription"/>
<display value="prescription"/>
<target>
<code value="ExplanationOfBenefit.prescription"/>
<display value="ExplanationOfBenefit.prescription"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.prescription` is mapped to FHIR R4 element `ExplanationOfBenefit.prescription` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.originalPrescription"/>
<display value="originalPrescription"/>
<target>
<code value="ExplanationOfBenefit.originalPrescription"/>
<display value="ExplanationOfBenefit.originalPrescription"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.originalPrescription` is mapped to FHIR R4 element `ExplanationOfBenefit.originalPrescription` as `Equivalent`.
For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.payee"/>
<display value="payee"/>
<target>
<code value="ExplanationOfBenefit.payee"/>
<display value="ExplanationOfBenefit.payee"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.payee` is mapped to FHIR R4 element `ExplanationOfBenefit.payee` as `Equivalent`.
Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.payee.type"/>
<display value="type"/>
<target>
<code value="ExplanationOfBenefit.payee.type"/>
<display value="ExplanationOfBenefit.payee.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.payee.type` is mapped to FHIR R4 element `ExplanationOfBenefit.payee.type` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.payee.party"/>
<display value="party"/>
<target>
<code value="ExplanationOfBenefit.payee.party"/>
<display value="ExplanationOfBenefit.payee.party"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.payee.party` is mapped to FHIR R4 element `ExplanationOfBenefit.payee.party` as `Equivalent`.
Not required if the payee is 'subscriber' or 'provider'."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.referral"/>
<display value="referral"/>
<target>
<code value="ExplanationOfBenefit.referral"/>
<display value="ExplanationOfBenefit.referral"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.referral` is mapped to FHIR R4 element `ExplanationOfBenefit.referral` as `Equivalent`.
The referral resource which lists the date, practitioner, reason and other supporting information."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.facility"/>
<display value="facility"/>
<target>
<code value="ExplanationOfBenefit.facility"/>
<display value="ExplanationOfBenefit.facility"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.facility` is mapped to FHIR R4 element `ExplanationOfBenefit.facility` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.facility` do not cover the following types based on type expansion: display, identifier, reference, type.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ExplanationOfBenefit.facility` with unmapped reference targets: Organization."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.claim"/>
<display value="claim"/>
<target>
<code value="ExplanationOfBenefit.claim"/>
<display value="ExplanationOfBenefit.claim"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.claim` is mapped to FHIR R4 element `ExplanationOfBenefit.claim` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.claimResponse"/>
<display value="claimResponse"/>
<target>
<code value="ExplanationOfBenefit.claimResponse"/>
<display value="ExplanationOfBenefit.claimResponse"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.claimResponse` is mapped to FHIR R4 element `ExplanationOfBenefit.claimResponse` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.outcome"/>
<display value="outcome"/>
<target>
<code value="ExplanationOfBenefit.outcome"/>
<display value="ExplanationOfBenefit.outcome"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.outcome` is mapped to FHIR R4 element `ExplanationOfBenefit.outcome` as `Equivalent`.
The resource may be used to indicate that the Claim/Preauthorization/Pre-determination has been received but processing has not begun (queued); that it has been processed and one or more errors have been detected (error); no errors were detected and some of the adjudication processing has been performed (partial); or all of the adjudication processing has completed without errors (complete)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.disposition"/>
<display value="disposition"/>
<target>
<code value="ExplanationOfBenefit.disposition"/>
<display value="ExplanationOfBenefit.disposition"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.disposition` is mapped to FHIR R4 element `ExplanationOfBenefit.disposition` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.preAuthRef"/>
<display value="preAuthRef"/>
<target>
<code value="ExplanationOfBenefit.preAuthRef"/>
<display value="ExplanationOfBenefit.preAuthRef"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.preAuthRef` is mapped to FHIR R4 element `ExplanationOfBenefit.preAuthRef` as `Equivalent`.
This value is only present on preauthorization adjudications."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.preAuthRefPeriod"/>
<display value="preAuthRefPeriod"/>
<target>
<code value="ExplanationOfBenefit.preAuthRefPeriod"/>
<display value="ExplanationOfBenefit.preAuthRefPeriod"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.preAuthRefPeriod` is mapped to FHIR R4 element `ExplanationOfBenefit.preAuthRefPeriod` as `Equivalent`.
This value is only present on preauthorization adjudications."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.careTeam"/>
<display value="careTeam"/>
<target>
<code value="ExplanationOfBenefit.careTeam"/>
<display value="ExplanationOfBenefit.careTeam"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.careTeam` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.careTeam.sequence"/>
<display value="sequence"/>
<target>
<code value="ExplanationOfBenefit.careTeam.sequence"/>
<display value="ExplanationOfBenefit.careTeam.sequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.careTeam.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam.sequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.careTeam.provider"/>
<display value="provider"/>
<target>
<code value="ExplanationOfBenefit.careTeam.provider"/>
<display value="ExplanationOfBenefit.careTeam.provider"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.careTeam.provider` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam.provider` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.careTeam.responsible"/>
<display value="responsible"/>
<target>
<code value="ExplanationOfBenefit.careTeam.responsible"/>
<display value="ExplanationOfBenefit.careTeam.responsible"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.careTeam.responsible` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam.responsible` as `Equivalent`.
Responsible might not be required when there is only a single provider listed."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.careTeam.role"/>
<display value="role"/>
<target>
<code value="ExplanationOfBenefit.careTeam.role"/>
<display value="ExplanationOfBenefit.careTeam.role"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.careTeam.role` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam.role` as `Equivalent`.
Role might not be required when there is only a single provider listed."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.careTeam.specialty"/>
<display value="specialty"/>
<target>
<code value="ExplanationOfBenefit.careTeam.qualification"/>
<display value="ExplanationOfBenefit.careTeam.qualification"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.careTeam.specialty` is mapped to FHIR R4 element `ExplanationOfBenefit.careTeam.qualification` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.supportingInfo"/>
<display value="supportingInfo"/>
<target>
<code value="ExplanationOfBenefit.supportingInfo"/>
<display value="ExplanationOfBenefit.supportingInfo"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.supportingInfo` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo` as `Equivalent`.
Often there are multiple jurisdiction specific valuesets which are required."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.supportingInfo.sequence"/>
<display value="sequence"/>
<target>
<code value="ExplanationOfBenefit.supportingInfo.sequence"/>
<display value="ExplanationOfBenefit.supportingInfo.sequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.supportingInfo.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.sequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.supportingInfo.category"/>
<display value="category"/>
<target>
<code value="ExplanationOfBenefit.supportingInfo.category"/>
<display value="ExplanationOfBenefit.supportingInfo.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.supportingInfo.category` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.category` as `Equivalent`.
This may contain a category for the local bill type codes."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.supportingInfo.code"/>
<display value="code"/>
<target>
<code value="ExplanationOfBenefit.supportingInfo.code"/>
<display value="ExplanationOfBenefit.supportingInfo.code"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.supportingInfo.code` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.code` as `Equivalent`.
This may contain the local bill type codes such as the US UB-04 bill type code."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.supportingInfo.timing[x]"/>
<display value="timing[x]"/>
<target>
<code value="ExplanationOfBenefit.supportingInfo.timing[x]"/>
<display value="ExplanationOfBenefit.supportingInfo.timing[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.supportingInfo.timing[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.timing[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.supportingInfo.timing[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.supportingInfo`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.supportingInfo.value[x]"/>
<display value="value[x]"/>
<target>
<code value="ExplanationOfBenefit.supportingInfo.value[x]"/>
<display value="ExplanationOfBenefit.supportingInfo.value[x]"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.supportingInfo.value[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.supportingInfo.value[x]` do not cover the following types: Identifier.
The target context `ExplanationOfBenefit.supportingInfo.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.supportingInfo`.
Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.supportingInfo.reason"/>
<display value="reason"/>
<target>
<code value="ExplanationOfBenefit.supportingInfo.reason"/>
<display value="ExplanationOfBenefit.supportingInfo.reason"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.supportingInfo.reason` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.reason` as `Equivalent`.
For example: the reason for the additional stay, or why a tooth is missing."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.diagnosis"/>
<display value="diagnosis"/>
<target>
<code value="ExplanationOfBenefit.diagnosis"/>
<display value="ExplanationOfBenefit.diagnosis"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.diagnosis` is mapped to FHIR R4 element `ExplanationOfBenefit.diagnosis` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.diagnosis.sequence"/>
<display value="sequence"/>
<target>
<code value="ExplanationOfBenefit.diagnosis.sequence"/>
<display value="ExplanationOfBenefit.diagnosis.sequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.diagnosis.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.diagnosis.sequence` as `Equivalent`.
Diagnosis are presented in list order to their expected importance: primary, secondary, etc."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.diagnosis.diagnosis[x]"/>
<display value="diagnosis[x]"/>
<target>
<code value="ExplanationOfBenefit.diagnosis.diagnosis[x]"/>
<display value="ExplanationOfBenefit.diagnosis.diagnosis[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.diagnosis.diagnosis[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.diagnosis.diagnosis[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.diagnosis.diagnosis[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.diagnosis`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.diagnosis.type"/>
<display value="type"/>
<target>
<code value="ExplanationOfBenefit.diagnosis.type"/>
<display value="ExplanationOfBenefit.diagnosis.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.diagnosis.type` is mapped to FHIR R4 element `ExplanationOfBenefit.diagnosis.type` as `Equivalent`.
For example: admitting, primary, secondary, discharge."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.diagnosis.onAdmission"/>
<display value="onAdmission"/>
<target>
<code value="ExplanationOfBenefit.diagnosis.onAdmission"/>
<display value="ExplanationOfBenefit.diagnosis.onAdmission"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.diagnosis.onAdmission` is mapped to FHIR R4 element `ExplanationOfBenefit.diagnosis.onAdmission` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.procedure"/>
<display value="procedure"/>
<target>
<code value="ExplanationOfBenefit.procedure"/>
<display value="ExplanationOfBenefit.procedure"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.procedure` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.procedure.sequence"/>
<display value="sequence"/>
<target>
<code value="ExplanationOfBenefit.procedure.sequence"/>
<display value="ExplanationOfBenefit.procedure.sequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.procedure.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure.sequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.procedure.type"/>
<display value="type"/>
<target>
<code value="ExplanationOfBenefit.procedure.type"/>
<display value="ExplanationOfBenefit.procedure.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.procedure.type` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure.type` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.procedure.date"/>
<display value="date"/>
<target>
<code value="ExplanationOfBenefit.procedure.date"/>
<display value="ExplanationOfBenefit.procedure.date"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.procedure.date` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure.date` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.procedure.procedure[x]"/>
<display value="procedure[x]"/>
<target>
<code value="ExplanationOfBenefit.procedure.procedure[x]"/>
<display value="ExplanationOfBenefit.procedure.procedure[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.procedure.procedure[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure.procedure[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.procedure.procedure[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.procedure`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.procedure.udi"/>
<display value="udi"/>
<target>
<code value="ExplanationOfBenefit.procedure.udi"/>
<display value="ExplanationOfBenefit.procedure.udi"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.procedure.udi` is mapped to FHIR R4 element `ExplanationOfBenefit.procedure.udi` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.precedence"/>
<display value="precedence"/>
<target>
<code value="ExplanationOfBenefit.precedence"/>
<display value="ExplanationOfBenefit.precedence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.precedence` is mapped to FHIR R4 element `ExplanationOfBenefit.precedence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.insurance"/>
<display value="insurance"/>
<target>
<code value="ExplanationOfBenefit.insurance"/>
<display value="ExplanationOfBenefit.insurance"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.insurance` is mapped to FHIR R4 element `ExplanationOfBenefit.insurance` as `Equivalent`.
All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.insurance.focal"/>
<display value="focal"/>
<target>
<code value="ExplanationOfBenefit.insurance.focal"/>
<display value="ExplanationOfBenefit.insurance.focal"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.insurance.focal` is mapped to FHIR R4 element `ExplanationOfBenefit.insurance.focal` as `Equivalent`.
A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.insurance.coverage"/>
<display value="coverage"/>
<target>
<code value="ExplanationOfBenefit.insurance.coverage"/>
<display value="ExplanationOfBenefit.insurance.coverage"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.insurance.coverage` is mapped to FHIR R4 element `ExplanationOfBenefit.insurance.coverage` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.insurance.preAuthRef"/>
<display value="preAuthRef"/>
<target>
<code value="ExplanationOfBenefit.insurance.preAuthRef"/>
<display value="ExplanationOfBenefit.insurance.preAuthRef"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.insurance.preAuthRef` is mapped to FHIR R4 element `ExplanationOfBenefit.insurance.preAuthRef` as `Equivalent`.
This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.accident"/>
<display value="accident"/>
<target>
<code value="ExplanationOfBenefit.accident"/>
<display value="ExplanationOfBenefit.accident"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.accident` is mapped to FHIR R4 element `ExplanationOfBenefit.accident` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.accident.date"/>
<display value="date"/>
<target>
<code value="ExplanationOfBenefit.accident.date"/>
<display value="ExplanationOfBenefit.accident.date"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.accident.date` is mapped to FHIR R4 element `ExplanationOfBenefit.accident.date` as `Equivalent`.
The date of the accident has to precede the dates of the products and services but within a reasonable timeframe."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.accident.type"/>
<display value="type"/>
<target>
<code value="ExplanationOfBenefit.accident.type"/>
<display value="ExplanationOfBenefit.accident.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.accident.type` is mapped to FHIR R4 element `ExplanationOfBenefit.accident.type` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.accident.location[x]"/>
<display value="location[x]"/>
<target>
<code value="ExplanationOfBenefit.accident.location[x]"/>
<display value="ExplanationOfBenefit.accident.location[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.accident.location[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.accident.location[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.accident.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.accident`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item"/>
<display value="item"/>
<target>
<code value="ExplanationOfBenefit.item"/>
<display value="ExplanationOfBenefit.item"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item` is mapped to FHIR R4 element `ExplanationOfBenefit.item` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.sequence"/>
<display value="sequence"/>
<target>
<code value="ExplanationOfBenefit.item.sequence"/>
<display value="ExplanationOfBenefit.item.sequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.sequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.careTeamSequence"/>
<display value="careTeamSequence"/>
<target>
<code value="ExplanationOfBenefit.item.careTeamSequence"/>
<display value="ExplanationOfBenefit.item.careTeamSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.careTeamSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.careTeamSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.diagnosisSequence"/>
<display value="diagnosisSequence"/>
<target>
<code value="ExplanationOfBenefit.item.diagnosisSequence"/>
<display value="ExplanationOfBenefit.item.diagnosisSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.diagnosisSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.diagnosisSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.procedureSequence"/>
<display value="procedureSequence"/>
<target>
<code value="ExplanationOfBenefit.item.procedureSequence"/>
<display value="ExplanationOfBenefit.item.procedureSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.procedureSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.procedureSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.informationSequence"/>
<display value="informationSequence"/>
<target>
<code value="ExplanationOfBenefit.item.informationSequence"/>
<display value="ExplanationOfBenefit.item.informationSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.informationSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.informationSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.revenue"/>
<display value="revenue"/>
<target>
<code value="ExplanationOfBenefit.item.revenue"/>
<display value="ExplanationOfBenefit.item.revenue"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.revenue` is mapped to FHIR R4 element `ExplanationOfBenefit.item.revenue` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.category"/>
<display value="category"/>
<target>
<code value="ExplanationOfBenefit.item.category"/>
<display value="ExplanationOfBenefit.item.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.category` is mapped to FHIR R4 element `ExplanationOfBenefit.item.category` as `Equivalent`.
Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.productOrService"/>
<display value="productOrService"/>
<target>
<code value="ExplanationOfBenefit.item.productOrService"/>
<display value="ExplanationOfBenefit.item.productOrService"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.item.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.modifier"/>
<display value="modifier"/>
<target>
<code value="ExplanationOfBenefit.item.modifier"/>
<display value="ExplanationOfBenefit.item.modifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.item.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.programCode"/>
<display value="programCode"/>
<target>
<code value="ExplanationOfBenefit.item.programCode"/>
<display value="ExplanationOfBenefit.item.programCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.programCode` is mapped to FHIR R4 element `ExplanationOfBenefit.item.programCode` as `Equivalent`.
For example: Neonatal program, child dental program or drug users recovery program."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.serviced[x]"/>
<display value="serviced[x]"/>
<target>
<code value="ExplanationOfBenefit.item.serviced[x]"/>
<display value="ExplanationOfBenefit.item.serviced[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.serviced[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.item.serviced[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.item.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.location[x]"/>
<display value="location[x]"/>
<target>
<code value="ExplanationOfBenefit.item.location[x]"/>
<display value="ExplanationOfBenefit.item.location[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.location[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.item.location[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.item.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.quantity"/>
<display value="quantity"/>
<target>
<code value="ExplanationOfBenefit.item.quantity"/>
<display value="ExplanationOfBenefit.item.quantity"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.item.quantity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.unitPrice"/>
<display value="unitPrice"/>
<target>
<code value="ExplanationOfBenefit.item.unitPrice"/>
<display value="ExplanationOfBenefit.item.unitPrice"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.item.unitPrice` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.factor"/>
<display value="factor"/>
<target>
<code value="ExplanationOfBenefit.item.factor"/>
<display value="ExplanationOfBenefit.item.factor"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.item.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.net"/>
<display value="net"/>
<target>
<code value="ExplanationOfBenefit.item.net"/>
<display value="ExplanationOfBenefit.item.net"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.net` is mapped to FHIR R4 element `ExplanationOfBenefit.item.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.udi"/>
<display value="udi"/>
<target>
<code value="ExplanationOfBenefit.item.udi"/>
<display value="ExplanationOfBenefit.item.udi"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.udi` is mapped to FHIR R4 element `ExplanationOfBenefit.item.udi` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.bodySite"/>
<display value="bodySite"/>
<target>
<code value="ExplanationOfBenefit.item.bodySite"/>
<display value="ExplanationOfBenefit.item.bodySite"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.bodySite` is mapped to FHIR R4 element `ExplanationOfBenefit.item.bodySite` as `SourceIsBroaderThanTarget`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.bodySite.site"/>
<display value="site"/>
<target>
<code value="ExplanationOfBenefit.item"/>
<display value="ExplanationOfBenefit.item"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.bodySite.site` is mapped to FHIR R4 element `ExplanationOfBenefit.item` as `Equivalent`.
For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.bodySite.subSite"/>
<display value="subSite"/>
<target>
<code value="ExplanationOfBenefit.item.subSite"/>
<display value="ExplanationOfBenefit.item.subSite"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.bodySite.subSite` is mapped to FHIR R4 element `ExplanationOfBenefit.item.subSite` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.encounter"/>
<display value="encounter"/>
<target>
<code value="ExplanationOfBenefit.item.encounter"/>
<display value="ExplanationOfBenefit.item.encounter"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.encounter` is mapped to FHIR R4 element `ExplanationOfBenefit.item.encounter` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.noteNumber"/>
<display value="noteNumber"/>
<target>
<code value="ExplanationOfBenefit.item.noteNumber"/>
<display value="ExplanationOfBenefit.item.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.item.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.adjudication"/>
<display value="adjudication"/>
<target>
<code value="ExplanationOfBenefit.item.adjudication"/>
<display value="ExplanationOfBenefit.item.adjudication"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.adjudication.category"/>
<display value="category"/>
<target>
<code value="ExplanationOfBenefit.item.adjudication.category"/>
<display value="ExplanationOfBenefit.item.adjudication.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.adjudication.category` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication.category` as `Equivalent`.
For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.adjudication.reason"/>
<display value="reason"/>
<target>
<code value="ExplanationOfBenefit.item.adjudication.reason"/>
<display value="ExplanationOfBenefit.item.adjudication.reason"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.adjudication.reason` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication.reason` as `Equivalent`.
For example, may indicate that the funds for this benefit type have been exhausted."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.adjudication.amount"/>
<display value="amount"/>
<target>
<code value="ExplanationOfBenefit.item.adjudication.amount"/>
<display value="ExplanationOfBenefit.item.adjudication.amount"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.adjudication.amount` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication.amount` as `Equivalent`.
For example, amount submitted, eligible amount, co-payment, and benefit payable."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.adjudication.quantity"/>
<display value="quantity"/>
<target>
<code value="ExplanationOfBenefit.item.adjudication.value"/>
<display value="ExplanationOfBenefit.item.adjudication.value"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.adjudication.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication.value` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.item.adjudication.quantity` do not cover the following types: Quantity.
The mappings for `ExplanationOfBenefit.item.adjudication.quantity` do not cover the following types based on type expansion: code, comparator, system, unit.
For example: eligible percentage or co-payment percentage."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail"/>
<display value="detail"/>
<target>
<code value="ExplanationOfBenefit.item.detail"/>
<display value="ExplanationOfBenefit.item.detail"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.detail` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.sequence"/>
<display value="sequence"/>
<target>
<code value="ExplanationOfBenefit.item.detail.sequence"/>
<display value="ExplanationOfBenefit.item.detail.sequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.sequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.revenue"/>
<display value="revenue"/>
<target>
<code value="ExplanationOfBenefit.item.detail.revenue"/>
<display value="ExplanationOfBenefit.item.detail.revenue"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.revenue` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.revenue` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.category"/>
<display value="category"/>
<target>
<code value="ExplanationOfBenefit.item.detail.category"/>
<display value="ExplanationOfBenefit.item.detail.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.category` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.category` as `Equivalent`.
Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.productOrService"/>
<display value="productOrService"/>
<target>
<code value="ExplanationOfBenefit.item.detail.productOrService"/>
<display value="ExplanationOfBenefit.item.detail.productOrService"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.modifier"/>
<display value="modifier"/>
<target>
<code value="ExplanationOfBenefit.item.detail.modifier"/>
<display value="ExplanationOfBenefit.item.detail.modifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.programCode"/>
<display value="programCode"/>
<target>
<code value="ExplanationOfBenefit.item.detail.programCode"/>
<display value="ExplanationOfBenefit.item.detail.programCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.programCode` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.programCode` as `Equivalent`.
For example: Neonatal program, child dental program or drug users recovery program."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.quantity"/>
<display value="quantity"/>
<target>
<code value="ExplanationOfBenefit.item.detail.quantity"/>
<display value="ExplanationOfBenefit.item.detail.quantity"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.quantity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.unitPrice"/>
<display value="unitPrice"/>
<target>
<code value="ExplanationOfBenefit.item.detail.unitPrice"/>
<display value="ExplanationOfBenefit.item.detail.unitPrice"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.unitPrice` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.factor"/>
<display value="factor"/>
<target>
<code value="ExplanationOfBenefit.item.detail.factor"/>
<display value="ExplanationOfBenefit.item.detail.factor"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.net"/>
<display value="net"/>
<target>
<code value="ExplanationOfBenefit.item.detail.net"/>
<display value="ExplanationOfBenefit.item.detail.net"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.net` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.udi"/>
<display value="udi"/>
<target>
<code value="ExplanationOfBenefit.item.detail.udi"/>
<display value="ExplanationOfBenefit.item.detail.udi"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.udi` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.udi` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.noteNumber"/>
<display value="noteNumber"/>
<target>
<code value="ExplanationOfBenefit.item.detail.noteNumber"/>
<display value="ExplanationOfBenefit.item.detail.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.adjudication"/>
<display value="adjudication"/>
<target>
<code value="ExplanationOfBenefit.item.detail.adjudication"/>
<display value="ExplanationOfBenefit.item.detail.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail"/>
<display value="subDetail"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail"/>
<display value="ExplanationOfBenefit.item.detail.subDetail"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.sequence"/>
<display value="sequence"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail.sequence"/>
<display value="ExplanationOfBenefit.item.detail.subDetail.sequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.sequence` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.sequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.revenue"/>
<display value="revenue"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail.revenue"/>
<display value="ExplanationOfBenefit.item.detail.subDetail.revenue"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.revenue` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.revenue` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.category"/>
<display value="category"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail.category"/>
<display value="ExplanationOfBenefit.item.detail.subDetail.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.category` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.category` as `Equivalent`.
Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."/>
</target>
</element>
<element>
<code
value="ExplanationOfBenefit.item.detail.subDetail.productOrService"/>
<display value="productOrService"/>
<target>
<code
value="ExplanationOfBenefit.item.detail.subDetail.productOrService"/>
<display
value="ExplanationOfBenefit.item.detail.subDetail.productOrService"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.modifier"/>
<display value="modifier"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail.modifier"/>
<display value="ExplanationOfBenefit.item.detail.subDetail.modifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.programCode"/>
<display value="programCode"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail.programCode"/>
<display
value="ExplanationOfBenefit.item.detail.subDetail.programCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.programCode` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.programCode` as `Equivalent`.
For example: Neonatal program, child dental program or drug users recovery program."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.quantity"/>
<display value="quantity"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail.quantity"/>
<display value="ExplanationOfBenefit.item.detail.subDetail.quantity"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.quantity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.unitPrice"/>
<display value="unitPrice"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail.unitPrice"/>
<display
value="ExplanationOfBenefit.item.detail.subDetail.unitPrice"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.unitPrice` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.factor"/>
<display value="factor"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail.factor"/>
<display value="ExplanationOfBenefit.item.detail.subDetail.factor"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.net"/>
<display value="net"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail.net"/>
<display value="ExplanationOfBenefit.item.detail.subDetail.net"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.net` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.udi"/>
<display value="udi"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail.udi"/>
<display value="ExplanationOfBenefit.item.detail.subDetail.udi"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.udi` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.udi` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.noteNumber"/>
<display value="noteNumber"/>
<target>
<code value="ExplanationOfBenefit.item.detail.subDetail.noteNumber"/>
<display
value="ExplanationOfBenefit.item.detail.subDetail.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.adjudication"/>
<display value="adjudication"/>
<target>
<code
value="ExplanationOfBenefit.item.detail.subDetail.adjudication"/>
<display
value="ExplanationOfBenefit.item.detail.subDetail.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.item.detail.subDetail.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem"/>
<display value="addItem"/>
<target>
<code value="ExplanationOfBenefit.addItem"/>
<display value="ExplanationOfBenefit.addItem"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.itemSequence"/>
<display value="itemSequence"/>
<target>
<code value="ExplanationOfBenefit.addItem.itemSequence"/>
<display value="ExplanationOfBenefit.addItem.itemSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.itemSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.itemSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detailSequence"/>
<display value="detailSequence"/>
<target>
<code value="ExplanationOfBenefit.addItem.detailSequence"/>
<display value="ExplanationOfBenefit.addItem.detailSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detailSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detailSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.subDetailSequence"/>
<display value="subDetailSequence"/>
<target>
<code value="ExplanationOfBenefit.addItem.subDetailSequence"/>
<display value="ExplanationOfBenefit.addItem.subDetailSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.subDetailSequence` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.subDetailSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.provider"/>
<display value="provider"/>
<target>
<code value="ExplanationOfBenefit.addItem.provider"/>
<display value="ExplanationOfBenefit.addItem.provider"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.provider` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.provider` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.productOrService"/>
<display value="productOrService"/>
<target>
<code value="ExplanationOfBenefit.addItem.productOrService"/>
<display value="ExplanationOfBenefit.addItem.productOrService"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.modifier"/>
<display value="modifier"/>
<target>
<code value="ExplanationOfBenefit.addItem.modifier"/>
<display value="ExplanationOfBenefit.addItem.modifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.programCode"/>
<display value="programCode"/>
<target>
<code value="ExplanationOfBenefit.addItem.programCode"/>
<display value="ExplanationOfBenefit.addItem.programCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.programCode` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.programCode` as `Equivalent`.
For example: Neonatal program, child dental program or drug users recovery program."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.serviced[x]"/>
<display value="serviced[x]"/>
<target>
<code value="ExplanationOfBenefit.addItem.serviced[x]"/>
<display value="ExplanationOfBenefit.addItem.serviced[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.serviced[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.serviced[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.addItem.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.addItem`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.location[x]"/>
<display value="location[x]"/>
<target>
<code value="ExplanationOfBenefit.addItem.location[x]"/>
<display value="ExplanationOfBenefit.addItem.location[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.location[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.location[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.addItem.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.addItem`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.quantity"/>
<display value="quantity"/>
<target>
<code value="ExplanationOfBenefit.addItem.quantity"/>
<display value="ExplanationOfBenefit.addItem.quantity"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.quantity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.unitPrice"/>
<display value="unitPrice"/>
<target>
<code value="ExplanationOfBenefit.addItem.unitPrice"/>
<display value="ExplanationOfBenefit.addItem.unitPrice"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.unitPrice` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.factor"/>
<display value="factor"/>
<target>
<code value="ExplanationOfBenefit.addItem.factor"/>
<display value="ExplanationOfBenefit.addItem.factor"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.net"/>
<display value="net"/>
<target>
<code value="ExplanationOfBenefit.addItem.net"/>
<display value="ExplanationOfBenefit.addItem.net"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.net` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.bodySite"/>
<display value="bodySite"/>
<target>
<code value="ExplanationOfBenefit.addItem.bodySite"/>
<display value="ExplanationOfBenefit.addItem.bodySite"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.bodySite` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.bodySite` as `SourceIsBroaderThanTarget`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.noteNumber"/>
<display value="noteNumber"/>
<target>
<code value="ExplanationOfBenefit.addItem.noteNumber"/>
<display value="ExplanationOfBenefit.addItem.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.adjudication"/>
<display value="adjudication"/>
<target>
<code value="ExplanationOfBenefit.addItem.adjudication"/>
<display value="ExplanationOfBenefit.addItem.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail"/>
<display value="detail"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail"/>
<display value="ExplanationOfBenefit.addItem.detail"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.productOrService"/>
<display value="productOrService"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.productOrService"/>
<display
value="ExplanationOfBenefit.addItem.detail.productOrService"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.modifier"/>
<display value="modifier"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.modifier"/>
<display value="ExplanationOfBenefit.addItem.detail.modifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.quantity"/>
<display value="quantity"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.quantity"/>
<display value="ExplanationOfBenefit.addItem.detail.quantity"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.quantity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.unitPrice"/>
<display value="unitPrice"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.unitPrice"/>
<display value="ExplanationOfBenefit.addItem.detail.unitPrice"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.unitPrice` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.factor"/>
<display value="factor"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.factor"/>
<display value="ExplanationOfBenefit.addItem.detail.factor"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.net"/>
<display value="net"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.net"/>
<display value="ExplanationOfBenefit.addItem.detail.net"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.net` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.noteNumber"/>
<display value="noteNumber"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.noteNumber"/>
<display value="ExplanationOfBenefit.addItem.detail.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.adjudication"/>
<display value="adjudication"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.adjudication"/>
<display value="ExplanationOfBenefit.addItem.detail.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.subDetail"/>
<display value="subDetail"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.subDetail"/>
<display value="ExplanationOfBenefit.addItem.detail.subDetail"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail` as `Equivalent`."/>
</target>
</element>
<element>
<code
value="ExplanationOfBenefit.addItem.detail.subDetail.productOrService"/>
<display value="productOrService"/>
<target>
<code
value="ExplanationOfBenefit.addItem.detail.subDetail.productOrService"/>
<display
value="ExplanationOfBenefit.addItem.detail.subDetail.productOrService"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` as `Equivalent`.
If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.modifier"/>
<display value="modifier"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.modifier"/>
<display
value="ExplanationOfBenefit.addItem.detail.subDetail.modifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.modifier` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.modifier` as `Equivalent`.
For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.quantity"/>
<display value="quantity"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.quantity"/>
<display
value="ExplanationOfBenefit.addItem.detail.subDetail.quantity"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.quantity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.unitPrice"/>
<display value="unitPrice"/>
<target>
<code
value="ExplanationOfBenefit.addItem.detail.subDetail.unitPrice"/>
<display
value="ExplanationOfBenefit.addItem.detail.subDetail.unitPrice"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.factor"/>
<display value="factor"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.factor"/>
<display
value="ExplanationOfBenefit.addItem.detail.subDetail.factor"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.factor` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.net"/>
<display value="net"/>
<target>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.net"/>
<display value="ExplanationOfBenefit.addItem.detail.subDetail.net"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.net` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.noteNumber"/>
<display value="noteNumber"/>
<target>
<code
value="ExplanationOfBenefit.addItem.detail.subDetail.noteNumber"/>
<display
value="ExplanationOfBenefit.addItem.detail.subDetail.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code
value="ExplanationOfBenefit.addItem.detail.subDetail.adjudication"/>
<display value="adjudication"/>
<target>
<code
value="ExplanationOfBenefit.addItem.detail.subDetail.adjudication"/>
<display
value="ExplanationOfBenefit.addItem.detail.subDetail.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.adjudication"/>
<display value="adjudication"/>
<target>
<code value="ExplanationOfBenefit.adjudication"/>
<display value="ExplanationOfBenefit.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.adjudication` is mapped to FHIR R4 element `ExplanationOfBenefit.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.total"/>
<display value="total"/>
<target>
<code value="ExplanationOfBenefit.total"/>
<display value="ExplanationOfBenefit.total"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.total` is mapped to FHIR R4 element `ExplanationOfBenefit.total` as `Equivalent`.
Totals for amounts submitted, co-pays, benefits payable etc."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.total.category"/>
<display value="category"/>
<target>
<code value="ExplanationOfBenefit.total.category"/>
<display value="ExplanationOfBenefit.total.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.total.category` is mapped to FHIR R4 element `ExplanationOfBenefit.total.category` as `Equivalent`.
For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.total.amount"/>
<display value="amount"/>
<target>
<code value="ExplanationOfBenefit.total.amount"/>
<display value="ExplanationOfBenefit.total.amount"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.total.amount` is mapped to FHIR R4 element `ExplanationOfBenefit.total.amount` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.payment"/>
<display value="payment"/>
<target>
<code value="ExplanationOfBenefit.payment"/>
<display value="ExplanationOfBenefit.payment"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.payment` is mapped to FHIR R4 element `ExplanationOfBenefit.payment` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.payment.type"/>
<display value="type"/>
<target>
<code value="ExplanationOfBenefit.payment.type"/>
<display value="ExplanationOfBenefit.payment.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.payment.type` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.type` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.payment.adjustment"/>
<display value="adjustment"/>
<target>
<code value="ExplanationOfBenefit.payment.adjustment"/>
<display value="ExplanationOfBenefit.payment.adjustment"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.payment.adjustment` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.adjustment` as `Equivalent`.
Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.payment.adjustmentReason"/>
<display value="adjustmentReason"/>
<target>
<code value="ExplanationOfBenefit.payment.adjustmentReason"/>
<display value="ExplanationOfBenefit.payment.adjustmentReason"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.payment.adjustmentReason` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.adjustmentReason` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.payment.date"/>
<display value="date"/>
<target>
<code value="ExplanationOfBenefit.payment.date"/>
<display value="ExplanationOfBenefit.payment.date"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.payment.date` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.date` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.payment.amount"/>
<display value="amount"/>
<target>
<code value="ExplanationOfBenefit.payment.amount"/>
<display value="ExplanationOfBenefit.payment.amount"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.payment.amount` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.amount` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.payment.identifier"/>
<display value="identifier"/>
<target>
<code value="ExplanationOfBenefit.payment.identifier"/>
<display value="ExplanationOfBenefit.payment.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.payment.identifier` is mapped to FHIR R4 element `ExplanationOfBenefit.payment.identifier` as `Equivalent`.
For example: EFT number or check number."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.formCode"/>
<display value="formCode"/>
<target>
<code value="ExplanationOfBenefit.formCode"/>
<display value="ExplanationOfBenefit.formCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.formCode` is mapped to FHIR R4 element `ExplanationOfBenefit.formCode` as `Equivalent`.
May be needed to identify specific jurisdictional forms."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.form"/>
<display value="form"/>
<target>
<code value="ExplanationOfBenefit.form"/>
<display value="ExplanationOfBenefit.form"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.form` is mapped to FHIR R4 element `ExplanationOfBenefit.form` as `Equivalent`.
Needed to permit insurers to include the actual form."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.processNote"/>
<display value="processNote"/>
<target>
<code value="ExplanationOfBenefit.processNote"/>
<display value="ExplanationOfBenefit.processNote"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.processNote` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.processNote.number"/>
<display value="number"/>
<target>
<code value="ExplanationOfBenefit.processNote.number"/>
<display value="ExplanationOfBenefit.processNote.number"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.processNote.number` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote.number` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.processNote.type"/>
<display value="type"/>
<target>
<code value="ExplanationOfBenefit.processNote.type"/>
<display value="ExplanationOfBenefit.processNote.type"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.processNote.type` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote.type` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.processNote.type` do not cover the following types: CodeableConcept.
The mappings for `ExplanationOfBenefit.processNote.type` do not cover the following types based on type expansion: coding."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.processNote.text"/>
<display value="text"/>
<target>
<code value="ExplanationOfBenefit.processNote.text"/>
<display value="ExplanationOfBenefit.processNote.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.processNote.text` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote.text` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.processNote.language"/>
<display value="language"/>
<target>
<code value="ExplanationOfBenefit.processNote.language"/>
<display value="ExplanationOfBenefit.processNote.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.processNote.language` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote.language` as `Equivalent`.
Only required if the language is different from the resource language."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitPeriod"/>
<display value="benefitPeriod"/>
<target>
<code value="ExplanationOfBenefit.benefitPeriod"/>
<display value="ExplanationOfBenefit.benefitPeriod"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.benefitPeriod` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitPeriod` as `Equivalent`.
Not applicable when use=claim."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance"/>
<display value="benefitBalance"/>
<target>
<code value="ExplanationOfBenefit.benefitBalance"/>
<display value="ExplanationOfBenefit.benefitBalance"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance.category"/>
<display value="category"/>
<target>
<code value="ExplanationOfBenefit.benefitBalance.category"/>
<display value="ExplanationOfBenefit.benefitBalance.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance.category` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.category` as `Equivalent`.
Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance.excluded"/>
<display value="excluded"/>
<target>
<code value="ExplanationOfBenefit.benefitBalance.excluded"/>
<display value="ExplanationOfBenefit.benefitBalance.excluded"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance.excluded` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.excluded` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance.name"/>
<display value="name"/>
<target>
<code value="ExplanationOfBenefit.benefitBalance.name"/>
<display value="ExplanationOfBenefit.benefitBalance.name"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance.name` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.name` as `Equivalent`.
For example: MED01, or DENT2."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance.description"/>
<display value="description"/>
<target>
<code value="ExplanationOfBenefit.benefitBalance.description"/>
<display value="ExplanationOfBenefit.benefitBalance.description"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance.description` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.description` as `Equivalent`.
For example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance.network"/>
<display value="network"/>
<target>
<code value="ExplanationOfBenefit.benefitBalance.network"/>
<display value="ExplanationOfBenefit.benefitBalance.network"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance.network` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.network` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance.unit"/>
<display value="unit"/>
<target>
<code value="ExplanationOfBenefit.benefitBalance.unit"/>
<display value="ExplanationOfBenefit.benefitBalance.unit"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance.unit` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.unit` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance.term"/>
<display value="term"/>
<target>
<code value="ExplanationOfBenefit.benefitBalance.term"/>
<display value="ExplanationOfBenefit.benefitBalance.term"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance.term` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.term` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance.financial"/>
<display value="financial"/>
<target>
<code value="ExplanationOfBenefit.benefitBalance.financial"/>
<display value="ExplanationOfBenefit.benefitBalance.financial"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance.financial` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.financial` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance.financial.type"/>
<display value="type"/>
<target>
<code value="ExplanationOfBenefit.benefitBalance.financial.type"/>
<display value="ExplanationOfBenefit.benefitBalance.financial.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance.financial.type` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.financial.type` as `Equivalent`.
For example: deductible, visits, benefit amount."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance.financial.allowed[x]"/>
<display value="allowed[x]"/>
<target>
<code
value="ExplanationOfBenefit.benefitBalance.financial.allowed[x]"/>
<display
value="ExplanationOfBenefit.benefitBalance.financial.allowed[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.benefitBalance.financial`."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.benefitBalance.financial.used[x]"/>
<display value="used[x]"/>
<target>
<code value="ExplanationOfBenefit.benefitBalance.financial.used[x]"/>
<display
value="ExplanationOfBenefit.benefitBalance.financial.used[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.benefitBalance.financial.used[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.benefitBalance.financial.used[x]` as `Equivalent`.
The target context `ExplanationOfBenefit.benefitBalance.financial.used[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.benefitBalance.financial`."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.traceNumber"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.traceNumber"/>
<display value="traceNumber"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.traceNumber` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.event"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.event"/>
<display value="event"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.event` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.event` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.event.type"/>
<display value="type"/>
<target>
<code value="Extension.extension:type"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.event.type` is part of an existing definition because parent element `ExplanationOfBenefit.event` requires a cross-version extension.
Element `ExplanationOfBenefit.event.type` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.event.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.event.when[x]"/>
<display value="when[x]"/>
<target>
<code value="Extension.extension:when"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.event.when[x]` is part of an existing definition because parent element `ExplanationOfBenefit.event` requires a cross-version extension.
Element `ExplanationOfBenefit.event.when[x]` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.event.when[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.encounter"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.encounter"/>
<display value="encounter"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.encounter` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.encounter` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.decision"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.decision"/>
<display value="decision"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.decision` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.decision` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
The element is used to indicate the current state of the adjudication overall for the claim resource, for example: the request has been held (pended) for adjudication processing, for manual review or other reasons; that it has been processed and will be paid, or the outstanding paid, as submitted (approved); that no amount will be paid (denied); or that some amount between zero and the submitted amoutn will be paid (partial)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.diagnosisRelatedGroup"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.diagnosisRelatedGroup"/>
<display value="diagnosisRelatedGroup"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.diagnosisRelatedGroup` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.diagnosisRelatedGroup` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
For example DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would be assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.supportingInfo.value"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.supportingInfo.value[x]"/>
<display value="value[x]"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.supportingInfo.value[x]` is mapped to FHIR R4 element `ExplanationOfBenefit.supportingInfo.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.supportingInfo.value[x]` do not cover the following types: Identifier.
The target context `ExplanationOfBenefit.supportingInfo.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.supportingInfo`.
Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.patientPaid"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.patientPaid"/>
<display value="patientPaid"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.patientPaid` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.traceNumber"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.traceNumber"/>
<display value="traceNumber"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.traceNumber` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.productOrServiceEnd"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.productOrServiceEnd"/>
<display value="productOrServiceEnd"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.productOrServiceEnd` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.request"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.request"/>
<display value="request"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.request` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.request` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.patientPaid"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.patientPaid"/>
<display value="patientPaid"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.patientPaid` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.tax"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.tax"/>
<display value="tax"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.tax` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.reviewOutcome"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.reviewOutcome"/>
<display value="reviewOutcome"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.reviewOutcome` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.reviewOutcome` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.reviewOutcome.decision"/>
<display value="decision"/>
<target>
<code value="Extension.extension:decision"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.reviewOutcome.decision` is part of an existing definition because parent element `ExplanationOfBenefit.item.reviewOutcome` requires a cross-version extension.
Element `ExplanationOfBenefit.item.reviewOutcome.decision` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.reviewOutcome.decision` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
The element is used to indicate the current state of the adjudication overall for the claim resource, for example: the request has been held (pended) for adjudication processing, for manual review or other reasons; that it has been processed and will be paid, or the outstanding paid, as submitted (approved); that no amount will be paid (denied); or that some amount between zero and the submitted amount will be paid (partial)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.reviewOutcome.reason"/>
<display value="reason"/>
<target>
<code value="Extension.extension:reason"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.reviewOutcome.reason` is part of an existing definition because parent element `ExplanationOfBenefit.item.reviewOutcome` requires a cross-version extension.
Element `ExplanationOfBenefit.item.reviewOutcome.reason` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.reviewOutcome.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.reviewOutcome.preAuthRef"/>
<display value="preAuthRef"/>
<target>
<code value="Extension.extension:preAuthRef"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.reviewOutcome.preAuthRef` is part of an existing definition because parent element `ExplanationOfBenefit.item.reviewOutcome` requires a cross-version extension.
Element `ExplanationOfBenefit.item.reviewOutcome.preAuthRef` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.reviewOutcome.preAuthRef` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
This value is only present on preauthorization adjudications."/>
</target>
</element>
<element>
<code value="ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod"/>
<display value="preAuthPeriod"/>
<target>
<code value="Extension.extension:preAuthPeriod"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod` is part of an existing definition because parent element `ExplanationOfBenefit.item.reviewOutcome` requires a cross-version extension.
Element `ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod` has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.adjudication.quantity"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.adjudication.quantity"/>
<display value="quantity"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.adjudication.quantity` is mapped to FHIR R4 element `ExplanationOfBenefit.item.adjudication.value` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.item.adjudication.quantity` do not cover the following types: Quantity.
The mappings for `ExplanationOfBenefit.item.adjudication.quantity` do not cover the following types based on type expansion: code, comparator, system, unit.
For example: eligible percentage or co-payment percentage."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.traceNumber"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.detail.traceNumber"/>
<display value="traceNumber"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.traceNumber` has a context of ExplanationOfBenefit.item.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.productOrServiceEnd"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.detail.productOrServiceEnd"/>
<display value="productOrServiceEnd"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.productOrServiceEnd` has a context of ExplanationOfBenefit.item.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.patientPaid"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.detail.patientPaid"/>
<display value="patientPaid"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.patientPaid` has a context of ExplanationOfBenefit.item.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.tax"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.detail.tax"/>
<display value="tax"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.tax` has a context of ExplanationOfBenefit.item.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.subDetail.traceNumber"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.traceNumber"/>
<display value="traceNumber"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.traceNumber` has a context of ExplanationOfBenefit.item.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.subDetail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd"/>
<targetVersion value="0.1.0"/>
<element>
<code
value="ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd"/>
<display value="productOrServiceEnd"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd` has a context of ExplanationOfBenefit.item.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.subDetail.patientPaid"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.patientPaid"/>
<display value="patientPaid"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.patientPaid` has a context of ExplanationOfBenefit.item.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.subDetail.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.subDetail.tax"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.item.detail.subDetail.tax"/>
<display value="tax"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.item.detail.subDetail.tax` has a context of ExplanationOfBenefit.item.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.item.detail.subDetail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.traceNumber"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.traceNumber"/>
<display value="traceNumber"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.traceNumber` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.revenue"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.revenue"/>
<display value="revenue"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.revenue` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.productOrServiceEnd"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.productOrServiceEnd"/>
<display value="productOrServiceEnd"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.productOrServiceEnd` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.request"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.request"/>
<display value="request"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.request` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.request` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.patientPaid"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.patientPaid"/>
<display value="patientPaid"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.patientPaid` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.tax"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.tax"/>
<display value="tax"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.tax` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.bodySite.site"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.bodySite.site"/>
<display value="site"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.bodySite.site` has a context of ExplanationOfBenefit.addItem.bodySite based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.bodySite.site` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
For example, providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.bodySite.subSite"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.bodySite.subSite"/>
<display value="subSite"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.bodySite.subSite` has a context of ExplanationOfBenefit.addItem.bodySite based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.bodySite.subSite` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.traceNumber"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.detail.traceNumber"/>
<display value="traceNumber"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.traceNumber` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.revenue"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.detail.revenue"/>
<display value="revenue"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.revenue` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.productOrServiceEnd"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.detail.productOrServiceEnd"/>
<display value="productOrServiceEnd"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.productOrServiceEnd` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.patientPaid"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.detail.patientPaid"/>
<display value="patientPaid"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.patientPaid` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.tax"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.detail.tax"/>
<display value="tax"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.tax` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail.traceNumber"/>
<targetVersion value="0.1.0"/>
<element>
<code
value="ExplanationOfBenefit.addItem.detail.subDetail.traceNumber"/>
<display value="traceNumber"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.traceNumber` has a context of ExplanationOfBenefit.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.subDetail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail.revenue"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.revenue"/>
<display value="revenue"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.revenue` has a context of ExplanationOfBenefit.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.subDetail.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd"/>
<targetVersion value="0.1.0"/>
<element>
<code
value="ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd"/>
<display value="productOrServiceEnd"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd` has a context of ExplanationOfBenefit.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail.patientPaid"/>
<targetVersion value="0.1.0"/>
<element>
<code
value="ExplanationOfBenefit.addItem.detail.subDetail.patientPaid"/>
<display value="patientPaid"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.patientPaid` has a context of ExplanationOfBenefit.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.subDetail.patientPaid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail.tax"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.addItem.detail.subDetail.tax"/>
<display value="tax"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `ExplanationOfBenefit.addItem.detail.subDetail.tax` has a context of ExplanationOfBenefit.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.
Element `ExplanationOfBenefit.addItem.detail.subDetail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.processNote.type"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ExplanationOfBenefit.processNote.type"/>
<display value="type"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `ExplanationOfBenefit.processNote.type` is mapped to FHIR R4 element `ExplanationOfBenefit.processNote.type` as `SourceIsBroaderThanTarget`.
The mappings for `ExplanationOfBenefit.processNote.type` do not cover the following types: CodeableConcept.
The mappings for `ExplanationOfBenefit.processNote.type` do not cover the following types based on type expansion: coding."/>
</target>
</element>
</group>
</ConceptMap>