Module health.fhir.r4.carinbb200
ballerinax/health.fhir.r4.carinbb200 Ballerina library
1.1.0
Functions
initialize
Isolated Function
function initialize()This empty function is used to initialize the module by other modules/packages.
Constants
health.fhir.r4.carinbb200: PROFILE_BASE_C4BBCOVERAGE
health.fhir.r4.carinbb200: PROFILE_BASE_C4BBEXPLANATIONOFBENEFIT
health.fhir.r4.carinbb200: PROFILE_BASE_C4BBEXPLANATIONOFBENEFITINPATIENTINSTITUTIONAL
health.fhir.r4.carinbb200: PROFILE_BASE_C4BBEXPLANATIONOFBENEFITORAL
health.fhir.r4.carinbb200: PROFILE_BASE_C4BBEXPLANATIONOFBENEFITOUTPATIENTINSTITUTIONAL
health.fhir.r4.carinbb200: PROFILE_BASE_C4BBEXPLANATIONOFBENEFITPHARMACY
health.fhir.r4.carinbb200: PROFILE_BASE_C4BBEXPLANATIONOFBENEFITPROFESSIONALNONCLINICIAN
health.fhir.r4.carinbb200: PROFILE_BASE_C4BBORGANIZATION
health.fhir.r4.carinbb200: PROFILE_BASE_C4BBPATIENT
health.fhir.r4.carinbb200: PROFILE_BASE_C4BBPRACTITIONER
health.fhir.r4.carinbb200: PROFILE_BASE_C4BBRELATEDPERSON
health.fhir.r4.carinbb200: RESOURCE_NAME_C4BBCOVERAGE
health.fhir.r4.carinbb200: RESOURCE_NAME_C4BBEXPLANATIONOFBENEFIT
health.fhir.r4.carinbb200: RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITINPATIENTINSTITUTIONAL
health.fhir.r4.carinbb200: RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITORAL
health.fhir.r4.carinbb200: RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITOUTPATIENTINSTITUTIONAL
health.fhir.r4.carinbb200: RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITPHARMACY
health.fhir.r4.carinbb200: RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITPROFESSIONALNONCLINICIAN
health.fhir.r4.carinbb200: RESOURCE_NAME_C4BBORGANIZATION
health.fhir.r4.carinbb200: RESOURCE_NAME_C4BBPATIENT
health.fhir.r4.carinbb200: RESOURCE_NAME_C4BBPRACTITIONER
health.fhir.r4.carinbb200: RESOURCE_NAME_C4BBRELATEDPERSON
Enums
health.fhir.r4.carinbb200: C4BBCoverageStatus
C4BBCoverageStatus enum
Members
CODE_STATUS_DRAFT
CODE_STATUS_ACTIVE
CODE_STATUS_CANCELLED
CODE_STATUS_ENTERED_IN_ERROR
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitIdentifierUse
C4BBExplanationOfBenefitIdentifierUse enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitIdentifierUseOne
C4BBExplanationOfBenefitIdentifierUseOne enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalIdentifierUse
C4BBExplanationOfBenefitInpatientInstitutionalIdentifierUse enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalOutcome
C4BBExplanationOfBenefitInpatientInstitutionalOutcome enum
Members
CODE_OUTCOME_QUEUED
CODE_OUTCOME_COMPLETE
CODE_OUTCOME_ERROR
CODE_OUTCOME_PARTIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalProcessNoteType
C4BBExplanationOfBenefitInpatientInstitutionalProcessNoteType enum
Members
CODE_TYPE_PRINT
CODE_TYPE_DISPLAY
CODE_TYPE_PRINTOPER
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalStatus
C4BBExplanationOfBenefitInpatientInstitutionalStatus enum
Members
CODE_STATUS_DRAFT
CODE_STATUS_ACTIVE
CODE_STATUS_CANCELLED
CODE_STATUS_ENTERED_IN_ERROR
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalUse
C4BBExplanationOfBenefitInpatientInstitutionalUse enum
Members
CODE_USE_PREDETERMINATION
CODE_USE_PREAUTHORIZATION
CODE_USE_CLAIM
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralIdentifierUse
C4BBExplanationOfBenefitOralIdentifierUse enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralIdentifierUseOne
C4BBExplanationOfBenefitOralIdentifierUseOne enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralOutcome
C4BBExplanationOfBenefitOralOutcome enum
Members
CODE_OUTCOME_QUEUED
CODE_OUTCOME_COMPLETE
CODE_OUTCOME_ERROR
CODE_OUTCOME_PARTIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralProcessNoteType
C4BBExplanationOfBenefitOralProcessNoteType enum
Members
CODE_TYPE_PRINT
CODE_TYPE_DISPLAY
CODE_TYPE_PRINTOPER
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralStatus
C4BBExplanationOfBenefitOralStatus enum
Members
CODE_STATUS_DRAFT
CODE_STATUS_ACTIVE
CODE_STATUS_CANCELLED
CODE_STATUS_ENTERED_IN_ERROR
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralUse
C4BBExplanationOfBenefitOralUse enum
Members
CODE_USE_PREDETERMINATION
CODE_USE_PREAUTHORIZATION
CODE_USE_CLAIM
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutcome
C4BBExplanationOfBenefitOutcome enum
Members
CODE_OUTCOME_QUEUED
CODE_OUTCOME_COMPLETE
CODE_OUTCOME_ERROR
CODE_OUTCOME_PARTIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierUse
C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierUse enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalOutcome
C4BBExplanationOfBenefitOutpatientInstitutionalOutcome enum
Members
CODE_OUTCOME_QUEUED
CODE_OUTCOME_COMPLETE
CODE_OUTCOME_ERROR
CODE_OUTCOME_PARTIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalProcessNoteType
C4BBExplanationOfBenefitOutpatientInstitutionalProcessNoteType enum
Members
CODE_TYPE_PRINT
CODE_TYPE_DISPLAY
CODE_TYPE_PRINTOPER
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalStatus
C4BBExplanationOfBenefitOutpatientInstitutionalStatus enum
Members
CODE_STATUS_DRAFT
CODE_STATUS_ACTIVE
CODE_STATUS_CANCELLED
CODE_STATUS_ENTERED_IN_ERROR
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalUse
C4BBExplanationOfBenefitOutpatientInstitutionalUse enum
Members
CODE_USE_PREDETERMINATION
CODE_USE_PREAUTHORIZATION
CODE_USE_CLAIM
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacyIdentifierUse
C4BBExplanationOfBenefitPharmacyIdentifierUse enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacyOutcome
C4BBExplanationOfBenefitPharmacyOutcome enum
Members
CODE_OUTCOME_QUEUED
CODE_OUTCOME_COMPLETE
CODE_OUTCOME_ERROR
CODE_OUTCOME_PARTIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacyProcessNoteType
C4BBExplanationOfBenefitPharmacyProcessNoteType enum
Members
CODE_TYPE_PRINT
CODE_TYPE_DISPLAY
CODE_TYPE_PRINTOPER
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacyStatus
C4BBExplanationOfBenefitPharmacyStatus enum
Members
CODE_STATUS_DRAFT
CODE_STATUS_ACTIVE
CODE_STATUS_CANCELLED
CODE_STATUS_ENTERED_IN_ERROR
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacyUse
C4BBExplanationOfBenefitPharmacyUse enum
Members
CODE_USE_PREDETERMINATION
CODE_USE_PREAUTHORIZATION
CODE_USE_CLAIM
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProcessNoteType
C4BBExplanationOfBenefitProcessNoteType enum
Members
CODE_TYPE_PRINT
CODE_TYPE_DISPLAY
CODE_TYPE_PRINTOPER
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierUse
C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierUse enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierUseOne
C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierUseOne enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianOutcome
C4BBExplanationOfBenefitProfessionalNonClinicianOutcome enum
Members
CODE_OUTCOME_QUEUED
CODE_OUTCOME_COMPLETE
CODE_OUTCOME_ERROR
CODE_OUTCOME_PARTIAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianProcessNoteType
C4BBExplanationOfBenefitProfessionalNonClinicianProcessNoteType enum
Members
CODE_TYPE_PRINT
CODE_TYPE_DISPLAY
CODE_TYPE_PRINTOPER
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianStatus
C4BBExplanationOfBenefitProfessionalNonClinicianStatus enum
Members
CODE_STATUS_DRAFT
CODE_STATUS_ACTIVE
CODE_STATUS_CANCELLED
CODE_STATUS_ENTERED_IN_ERROR
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoValueComparator
C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoValueComparator enum
Members
CODE_COMPARATOR_LESS_THAN_OR_EQUAL
CODE_COMPARATOR_LESS_THAN
CODE_COMPARATOR_GREATER_THAN
CODE_COMPARATOR_GREATER_THAN_OR_EQUAL
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianUse
C4BBExplanationOfBenefitProfessionalNonClinicianUse enum
Members
CODE_USE_PREDETERMINATION
CODE_USE_PREAUTHORIZATION
CODE_USE_CLAIM
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitStatus
C4BBExplanationOfBenefitStatus enum
Members
CODE_STATUS_DRAFT
CODE_STATUS_ACTIVE
CODE_STATUS_CANCELLED
CODE_STATUS_ENTERED_IN_ERROR
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitUse
C4BBExplanationOfBenefitUse enum
Members
CODE_USE_PREDETERMINATION
CODE_USE_PREAUTHORIZATION
CODE_USE_CLAIM
health.fhir.r4.carinbb200: C4BBOrganizationAddressType
C4BBOrganizationAddressType enum
Members
CODE_TYPE_POSTAL
CODE_TYPE_PHYSICAL
CODE_TYPE_BOTH
health.fhir.r4.carinbb200: C4BBOrganizationAddressUse
C4BBOrganizationAddressUse enum
Members
CODE_USE_TEMP
CODE_USE_WORK
CODE_USE_OLD
CODE_USE_HOME
CODE_USE_BILLING
health.fhir.r4.carinbb200: C4BBPatientAddressType
C4BBPatientAddressType enum
Members
CODE_TYPE_POSTAL
CODE_TYPE_PHYSICAL
CODE_TYPE_BOTH
health.fhir.r4.carinbb200: C4BBPatientAddressUse
C4BBPatientAddressUse enum
Members
CODE_USE_TEMP
CODE_USE_WORK
CODE_USE_OLD
CODE_USE_HOME
CODE_USE_BILLING
health.fhir.r4.carinbb200: C4BBPatientContactGender
C4BBPatientContactGender enum
Members
CODE_GENDER_OTHER
CODE_GENDER_FEMALE
CODE_GENDER_MALE
CODE_GENDER_UNKNOWN
health.fhir.r4.carinbb200: C4BBPatientGender
C4BBPatientGender enum
Members
CODE_GENDER_OTHER
CODE_GENDER_FEMALE
CODE_GENDER_MALE
CODE_GENDER_UNKNOWN
health.fhir.r4.carinbb200: C4BBPatientIdentifierUse
C4BBPatientIdentifierUse enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBPatientIdentifierUseOne
C4BBPatientIdentifierUseOne enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBPatientIdentifierUseTwo
C4BBPatientIdentifierUseTwo enum
Members
CODE_USE_SECONDARY
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_OFFICIAL
health.fhir.r4.carinbb200: C4BBPatientLinkType
C4BBPatientLinkType enum
Members
CODE_TYPE_REFER
CODE_TYPE_REPLACES
CODE_TYPE_SEEALSO
CODE_TYPE_REPLACED_BY
health.fhir.r4.carinbb200: C4BBPatientNameUse
C4BBPatientNameUse enum
Members
CODE_USE_MAIDEN
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_NICKNAME
CODE_USE_OFFICIAL
CODE_USE_ANONYMOUS
health.fhir.r4.carinbb200: C4BBPatientTelecomSystem
C4BBPatientTelecomSystem enum
Members
CODE_SYSTEM_OTHER
CODE_SYSTEM_PAGER
CODE_SYSTEM_PHONE
CODE_SYSTEM_SMS
CODE_SYSTEM_FAX
CODE_SYSTEM_EMAIL
CODE_SYSTEM_URL
health.fhir.r4.carinbb200: C4BBPatientTelecomUse
C4BBPatientTelecomUse enum
Members
CODE_USE_TEMP
CODE_USE_WORK
CODE_USE_OLD
CODE_USE_MOBILE
CODE_USE_HOME
health.fhir.r4.carinbb200: C4BBPractitionerGender
C4BBPractitionerGender enum
Members
CODE_GENDER_OTHER
CODE_GENDER_FEMALE
CODE_GENDER_MALE
CODE_GENDER_UNKNOWN
health.fhir.r4.carinbb200: C4BBPractitionerNameUse
C4BBPractitionerNameUse enum
Members
CODE_USE_MAIDEN
CODE_USE_TEMP
CODE_USE_USUAL
CODE_USE_OLD
CODE_USE_NICKNAME
CODE_USE_OFFICIAL
CODE_USE_ANONYMOUS
health.fhir.r4.carinbb200: C4BBRelatedPersonGender
C4BBRelatedPersonGender enum
Members
CODE_GENDER_OTHER
CODE_GENDER_FEMALE
CODE_GENDER_MALE
CODE_GENDER_UNKNOWN
Variables
health.fhir.r4.carinbb200: terminologyProcessor
Terminology processor instance
health.fhir.r4.carinbb200: fhirRegistry
FHIR registry instance
health.fhir.r4.carinbb200: FHIR_VALUE_SETS
health.fhir.r4.carinbb200: FHIR_CODE_SYSTEMS
Records
health.fhir.r4.carinbb200: C4BBCoverage
FHIR C4BBCoverage resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_C4BBCOVERAGE(default RESOURCE_NAME_C4BBCOVERAGE) - The type of the resource describes
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- subrogation? boolean - When 'subrogation=true' this insurance instance has been included not for adjudication but to provide insurers with the details to recover costs.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- language? code - The base language in which the resource is written.
- 'type? CodeableConcept - The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
- network? string - The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate, otherwise 'out of network' terms and conditions apply.
- payor Reference - The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements.
- id? string - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
- text? Narrative - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
- relationship CodeableConcept - The relationship of beneficiary (patient) to the subscriber.
- 'class? C4BBCoverageClass[] - A suite of underwriter specific classifiers.
- class Slicings
- C4BBCoverageClassPlan: Plan
- min = 0
- max = 1
- dependent? string - A unique identifier for a dependent under the coverage.
- 'order? positiveInt - The order of applicability of this coverage relative to other coverages which are currently in force. Note, there may be gaps in the numbering and this does not imply primary, secondary etc. as the specific positioning of coverages depends upon the episode of care.
- identifier? Identifier[] - A unique identifier assigned to this coverage.
- costToBeneficiary? C4BBCoverageCostToBeneficiary[] - A suite of codes indicating the cost category and associated amount which have been detailed in the policy and may have been included on the health card.
- period? Period - Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force.
- subscriber? Reference - The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due.
- contract? Reference[] - The policy(s) which constitute this insurance coverage.
- subscriberId string - The insurer assigned ID for the Subscriber.
- contained? Resource[] - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
- beneficiary Reference - The party who benefits from the insurance coverage; the patient when products and/or services are provided.
- meta C4BBCoverageMeta - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
- implicitRules? uri - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
- policyHolder? Reference - The party who 'owns' the insurance policy.
- status C4BBCoverageStatus - The status of the resource instance.
- Element... - Rest field
health.fhir.r4.carinbb200: C4BBCoverageClass
Closed record
FHIR C4BBCoverageClass datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- name? string - A short description for the class.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type CodeableConcept - The type of classification for which an insurer-specific class label or number and optional name is provided, for example may be used to identify a class of coverage or employer group, Policy, Plan.
- value string - The alphanumeric string value associated with the insurer issued label.
health.fhir.r4.carinbb200: C4BBCoverageClassGroup
Closed record
FHIR C4BBCoverageClassGroup datatype record.
Fields
- Fields Included from *C4BBCoverageClass
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- name? string - A short description for the class.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type C4BBCoverageClassTypeOne - The type of classification for which an insurer-specific class label or number and optional name is provided, for example may be used to identify a class of coverage or employer group, Policy, Plan.
- value string - The alphanumeric string value associated with the insurer issued label.
health.fhir.r4.carinbb200: C4BBCoverageClassPlan
Closed record
FHIR C4BBCoverageClassPlan datatype record.
Fields
- Fields Included from *C4BBCoverageClass
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- name? string - A short description for the class.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type C4BBCoverageClassType - The type of classification for which an insurer-specific class label or number and optional name is provided, for example may be used to identify a class of coverage or employer group, Policy, Plan.
- value string - The alphanumeric string value associated with the insurer issued label.
health.fhir.r4.carinbb200: C4BBCoverageClassType
Closed record
FHIR C4BBCoverageClassType datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBCoverageClassTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBCoverageClassTypeCoding
Closed record
FHIR C4BBCoverageClassTypeCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://terminology.hl7.org/CodeSystem/coverage-class") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "plan") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBCoverageClassTypeCodingOne
Closed record
FHIR C4BBCoverageClassTypeCodingOne datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://terminology.hl7.org/CodeSystem/coverage-class") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "group") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBCoverageClassTypeOne
Closed record
FHIR C4BBCoverageClassTypeOne datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBCoverageClassTypeCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBCoverageCostToBeneficiary
Closed record
FHIR C4BBCoverageCostToBeneficiary datatype record.
Fields
- Fields Included from *BackboneElement
- exception? C4BBCoverageCostToBeneficiaryException[] - A suite of codes indicating exceptions or reductions to patient costs and their effective periods.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- valueMoney Money - The amount due from the patient for the cost category.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type? CodeableConcept - The category of patient centric costs associated with treatment.
- valueQuantity Quantity - The amount due from the patient for the cost category.
health.fhir.r4.carinbb200: C4BBCoverageCostToBeneficiaryException
Closed record
FHIR C4BBCoverageCostToBeneficiaryException datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- period? Period - The timeframe during when the exception is in force.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type CodeableConcept - The code for the specific exception.
health.fhir.r4.carinbb200: C4BBCoverageMeta
Closed record
FHIR C4BBCoverageMeta datatype record.
Fields
- Fields Included from *Meta
- lastUpdated instant - When the resource last changed - e.g. when the version changed.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- security? Coding[] - Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
- versionId? id - The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
- profile canonical[] - A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'source? uri - A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
- tag? Coding[] - Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefit
FHIR C4BBExplanationOfBenefit resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_C4BBEXPLANATIONOFBENEFIT(default RESOURCE_NAME_C4BBEXPLANATIONOFBENEFIT) - The type of the resource describes
- benefitPeriod? Period - The term of the benefits documented in this response.
- insurance C4BBExplanationOfBenefitInsurance[] - Financial instruments for reimbursement for the health care products and services specified on the claim.
- claimResponse? Reference - The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.
- use C4BBExplanationOfBenefitUse - A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- preAuthRef? string[] - Reference from the Insurer which is used in later communications which refers to this adjudication.
- language? code - The base language in which the resource is written.
- 'type CodeableConcept - The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
- precedence? positiveInt - This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.
- processNote? C4BBExplanationOfBenefitProcessNote[] - A note that describes or explains adjudication results in a human readable form.
- payee? C4BBExplanationOfBenefitPayee - The party to be reimbursed for cost of the products and services according to the terms of the policy.
- supportingInfo? C4BBExplanationOfBenefitSupportingInfo[] - Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
- claim? Reference - The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.
- enterer? Reference - Individual who created the claim, predetermination or preauthorization.
- payment? C4BBExplanationOfBenefitPayment - Payment details for the adjudication of the claim.
- id? string - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
- text? Narrative - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
- careTeam? C4BBExplanationOfBenefitCareTeam[] - The members of the team who provided the products and services.
- identifier C4BBExplanationOfBenefitIdentifier[] - A unique identifier assigned to this explanation of benefit.
- identifier Slicings
- C4BBExplanationOfBenefitIdentifierUniqueclaimid: Unique Claim Identifier
- min = 1
- max = 1
- item C4BBExplanationOfBenefitItem[] - A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.
- created dateTime - The date this resource was created.
- diagnosis? C4BBExplanationOfBenefitDiagnosis[] - Information about diagnoses relevant to the claim items.
- priority? CodeableConcept - The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
- preAuthRefPeriod? Period[] - The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.
- meta C4BBExplanationOfBenefitMeta - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
- billablePeriod C4BBExplanationOfBenefitBillablePeriod - The period for which charges are being submitted.
- implicitRules? uri - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
- subType? CodeableConcept - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- status C4BBExplanationOfBenefitStatus - The status of the resource instance.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- benefitBalance? C4BBExplanationOfBenefitBenefitBalance[] - Balance by Benefit Category.
- accident? C4BBExplanationOfBenefitAccident - Details of a accident which resulted in injuries which required the products and services listed in the claim.
- addItem? C4BBExplanationOfBenefitAddItem[] - The first-tier service adjudications for payor added product or service lines.
- total C4BBExplanationOfBenefitTotal[] - Categorized monetary totals for the adjudication.
- fundsReserve? CodeableConcept - A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
- fundsReserveRequested? CodeableConcept - A code to indicate whether and for whom funds are to be reserved for future claims.
- provider Reference - The provider which is responsible for the claim, predetermination or preauthorization.
- insurer Reference - The party responsible for authorization, adjudication and reimbursement.
- patient Reference - The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.
- outcome C4BBExplanationOfBenefitOutcome - The outcome of the claim, predetermination, or preauthorization processing.
- formCode? CodeableConcept - A code for the form to be used for printing the content.
- originalPrescription? Reference - Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
- procedure? C4BBExplanationOfBenefitProcedure[] - Procedures performed on the patient relevant to the billing items with the claim.
- contained? Resource[] - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
- disposition? string - A human readable description of the status of the adjudication.
- referral? Reference - A reference to a referral resource.
- form? Attachment - The actual form, by reference or inclusion, for printing the content or an EOB.
- prescription? Reference - Prescription to support the dispensing of pharmacy, device or vision products.
- facility? Reference - Facility where the services were provided.
- Element... - Rest field
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitAccident
Closed record
FHIR C4BBExplanationOfBenefitAccident datatype record.
Fields
- Fields Included from *BackboneElement
- date? date - Date of an accident event related to the products and services contained in the claim.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationAddress? Address - The physical location of the accident event.
- locationReference? Reference - The physical location of the accident event.
- 'type? CodeableConcept - The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitAddItem
Closed record
FHIR C4BBExplanationOfBenefitAddItem datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- locationAddress? Address - Where the product or service was provided.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- servicedPeriod? Period - The date or dates when the service or product was supplied, performed or completed.
- subDetailSequence? positiveInt[] - The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.
- itemSequence? positiveInt[] - Claim items which this service line is intended to replace.
- bodySite? CodeableConcept - Physical service site on the patient (limb, tooth, etc.).
- locationCodeableConcept? CodeableConcept - Where the product or service was provided.
- provider? Reference[] - The providers who are authorized for the services rendered to the patient.
- detailSequence? positiveInt[] - The sequence number of the details within the claim item which this line is intended to replace.
- subSite? CodeableConcept[] - A region or surface of the bodySite, e.g. limb region or tooth surface(s).
- detail? C4BBExplanationOfBenefitAddItemDetail[] - The second-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationReference? Reference - Where the product or service was provided.
- servicedDate? date - The date or dates when the service or product was supplied, performed or completed.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitAddItemDetail
Closed record
FHIR C4BBExplanationOfBenefitAddItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? C4BBExplanationOfBenefitAddItemDetailSubDetail[] - The third-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitAddItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitAddItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitBenefitBalance
Closed record
FHIR C4BBExplanationOfBenefitBenefitBalance datatype record.
Fields
- Fields Included from *BackboneElement
- excluded? boolean - True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- unit? CodeableConcept - Indicates if the benefits apply to an individual or to the family.
- financial? C4BBExplanationOfBenefitBenefitBalanceFinancial[] - Benefits Used to date.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- name? string - A short name or tag for the benefit.
- description? string - A richer description of the benefit or services covered.
- term? CodeableConcept - The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- network? CodeableConcept - Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitBenefitBalanceFinancial
Closed record
FHIR C4BBExplanationOfBenefitBenefitBalanceFinancial datatype record.
Fields
- Fields Included from *BackboneElement
- allowedExplanationOfBenefitMoney? Money - The quantity of the benefit which is permitted under the coverage.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- allowedExplanationOfBenefitUnsignedInt? unsignedInt - The quantity of the benefit which is permitted under the coverage.
- allowedExplanationOfBenefitString? string - The quantity of the benefit which is permitted under the coverage.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- usedExplanationOfBenefitUnsignedInt? unsignedInt - The quantity of the benefit which have been consumed to date.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- usedExplanationOfBenefitMoney? Money - The quantity of the benefit which have been consumed to date.
- 'type CodeableConcept - Classification of benefit being provided.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitBillablePeriod
Closed record
FHIR C4BBExplanationOfBenefitBillablePeriod datatype record.
Fields
- Fields Included from *Period
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- 'start dateTime - The start of the period. The boundary is inclusive.
- end? dateTime - The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitCareTeam
Closed record
FHIR C4BBExplanationOfBenefitCareTeam datatype record.
Fields
- Fields Included from *BackboneElement
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- role? CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitDiagnosis
Closed record
FHIR C4BBExplanationOfBenefitDiagnosis datatype record.
Fields
- Fields Included from *BackboneElement
- sequence positiveInt - A number to uniquely identify diagnosis entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- onAdmission? CodeableConcept - Indication of whether the diagnosis was present on admission to a facility.
- packageCode? CodeableConcept - A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type? CodeableConcept[] - When the condition was observed or the relative ranking.
- diagnosisReference Reference - The nature of illness or problem in a coded form or as a reference to an external defined Condition.
- diagnosisCodeableConcept CodeableConcept - The nature of illness or problem in a coded form or as a reference to an external defined Condition.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitIdentifier
Closed record
FHIR C4BBExplanationOfBenefitIdentifier datatype record.
Fields
- Fields Included from *Identifier
- id string
- extension Extension[]
- use IdentifierUse
- type CodeableConcept
- system uri
- value string
- period Period
- assigner Reference
- Element...
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- period? Period - Time period during which identifier is/was valid for use.
- system? uri - Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
- use? C4BBExplanationOfBenefitIdentifierUse - The purpose of this identifier.
- assigner? Reference - Organization that issued/manages the identifier.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type? CodeableConcept - A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
- value? string - The portion of the identifier typically relevant to the user and which is unique within the context of the system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitIdentifierType
Closed record
FHIR C4BBExplanationOfBenefitIdentifierType datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitIdentifierTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitIdentifierTypeCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "uc") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitIdentifierUniqueclaimid
Closed record
FHIR C4BBExplanationOfBenefitIdentifierUniqueclaimid datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitIdentifier
- extension Extension[]
- period Period
- system uri
- use C4BBExplanationOfBenefitIdentifierUse
- assigner Reference
- id string
- type CodeableConcept
- value string
- Element...
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- period? Period - Time period during which identifier is/was valid for use.
- system? uri - Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
- use? C4BBExplanationOfBenefitIdentifierUseOne - The purpose of this identifier.
- assigner? Reference - Organization that issued/manages the identifier.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type C4BBExplanationOfBenefitIdentifierType - A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
- value string - The portion of the identifier typically relevant to the user and which is unique within the context of the system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutional
FHIR C4BBExplanationOfBenefitInpatientInstitutional resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITINPATIENTINSTITUTIONAL(default RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITINPATIENTINSTITUTIONAL) - The type of the resource describes
- benefitPeriod? Period - The term of the benefits documented in this response.
- insurance C4BBExplanationOfBenefitInpatientInstitutionalInsurance[] - Financial instruments for reimbursement for the health care products and services specified on the claim.
- claimResponse? Reference - The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.
- use C4BBExplanationOfBenefitInpatientInstitutionalUse - A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- preAuthRef? string[] - Reference from the Insurer which is used in later communications which refers to this adjudication.
- language? code - The base language in which the resource is written.
- 'type C4BBExplanationOfBenefitInpatientInstitutionalType - The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
- precedence? positiveInt - This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.
- processNote? C4BBExplanationOfBenefitInpatientInstitutionalProcessNote[] - A note that describes or explains adjudication results in a human readable form.
- payee? C4BBExplanationOfBenefitInpatientInstitutionalPayee - The party to be reimbursed for cost of the products and services according to the terms of the policy.
- supportingInfo C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo[] - Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
- supportingInfo Slicings
- C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoMedicalrecordnumber: Medical record number
- min = 0
- max = 1
- claim? Reference - The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.
- enterer? Reference - Individual who created the claim, predetermination or preauthorization.
- payment? C4BBExplanationOfBenefitInpatientInstitutionalPayment - Payment details for the adjudication of the claim.
- id? string - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
- text? Narrative - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
- careTeam? C4BBExplanationOfBenefitInpatientInstitutionalCareTeam[] - The members of the team who provided the products and services.
- identifier Identifier[] - A unique identifier assigned to this explanation of benefit.
- identifier Slicings
- C4BBExplanationOfBenefitInpatientInstitutionalIdentifierUniqueclaimid: Unique Claim Identifier
- min = 1
- max = 1
- item C4BBExplanationOfBenefitInpatientInstitutionalItem[] - A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.
- created dateTime - The date this resource was created.
- diagnosis C4BBExplanationOfBenefitInpatientInstitutionalDiagnosis[] - Information about diagnoses relevant to the claim items.
- priority? CodeableConcept - The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
- preAuthRefPeriod? Period[] - The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.
- meta Meta - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
- billablePeriod C4BBExplanationOfBenefitInpatientInstitutionalBillablePeriod - The period for which charges are being submitted.
- implicitRules? uri - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
- subType C4BBExplanationOfBenefitInpatientInstitutionalSubType - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- status C4BBExplanationOfBenefitInpatientInstitutionalStatus - The status of the resource instance.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- benefitBalance? C4BBExplanationOfBenefitInpatientInstitutionalBenefitBalance[] - Balance by Benefit Category.
- accident? C4BBExplanationOfBenefitInpatientInstitutionalAccident - Details of a accident which resulted in injuries which required the products and services listed in the claim.
- adjudication C4BBExplanationOfBenefitInpatientInstitutionalAdjudication[] - The adjudication results which are presented at the header level rather than at the line-item or add-item levels.
- adjudication Slicings
- C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationBillingnetworkstatus: Billing provider network status
- min = 0
- max = 1
- addItem? C4BBExplanationOfBenefitInpatientInstitutionalAddItem[] - The first-tier service adjudications for payor added product or service lines.
- total C4BBExplanationOfBenefitInpatientInstitutionalTotal[] - Categorized monetary totals for the adjudication.
- total Slicings
- C4BBExplanationOfBenefitInpatientInstitutionalTotalAdjudicationamounttype: Total adjudication type and amount
- min = 1
- max = *
- fundsReserve? CodeableConcept - A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
- fundsReserveRequested? CodeableConcept - A code to indicate whether and for whom funds are to be reserved for future claims.
- provider Reference - The provider which is responsible for the claim, predetermination or preauthorization.
- insurer Reference - The party responsible for authorization, adjudication and reimbursement.
- patient Reference - The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.
- outcome C4BBExplanationOfBenefitInpatientInstitutionalOutcome - The outcome of the claim, predetermination, or preauthorization processing.
- formCode? CodeableConcept - A code for the form to be used for printing the content.
- originalPrescription? Reference - Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
- procedure? C4BBExplanationOfBenefitInpatientInstitutionalProcedure[] - Procedures performed on the patient relevant to the billing items with the claim.
- contained? Resource[] - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
- disposition? string - A human readable description of the status of the adjudication.
- referral? Reference - A reference to a referral resource.
- form? Attachment - The actual form, by reference or inclusion, for printing the content or an EOB.
- prescription? Reference - Prescription to support the dispensing of pharmacy, device or vision products.
- facility? Reference - Facility where the services were provided.
- Element... - Rest field
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAccident
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAccident datatype record.
Fields
- Fields Included from *BackboneElement
- date? date - Date of an accident event related to the products and services contained in the claim.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationAddress? Address - The physical location of the accident event.
- locationReference? Reference - The physical location of the accident event.
- 'type? CodeableConcept - The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAddItem
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAddItem datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- locationAddress? Address - Where the product or service was provided.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- servicedPeriod? Period - The date or dates when the service or product was supplied, performed or completed.
- subDetailSequence? positiveInt[] - The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.
- itemSequence? positiveInt[] - Claim items which this service line is intended to replace.
- bodySite? CodeableConcept - Physical service site on the patient (limb, tooth, etc.).
- locationCodeableConcept? CodeableConcept - Where the product or service was provided.
- provider? Reference[] - The providers who are authorized for the services rendered to the patient.
- detailSequence? positiveInt[] - The sequence number of the details within the claim item which this line is intended to replace.
- subSite? CodeableConcept[] - A region or surface of the bodySite, e.g. limb region or tooth surface(s).
- detail? C4BBExplanationOfBenefitInpatientInstitutionalAddItemDetail[] - The second-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationReference? Reference - Where the product or service was provided.
- servicedDate? date - The date or dates when the service or product was supplied, performed or completed.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAddItemDetail
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAddItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? C4BBExplanationOfBenefitInpatientInstitutionalAddItemDetailSubDetail[] - The third-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAddItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAddItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudication
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudication datatype record.
Fields
- Fields Included from *BackboneElement
- reason? CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationAdjustmentreason
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationAdjustmentreason datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalAdjudication
- reason CodeableConcept
- amount Money
- extension Extension[]
- modifierExtension Extension[]
- id string
- category CodeableConcept
- value decimal
- Element...
- reason CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryTwo - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationBenefitpaymentstatus
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationBenefitpaymentstatus datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalAdjudication
- reason CodeableConcept
- amount Money
- extension Extension[]
- modifierExtension Extension[]
- id string
- category CodeableConcept
- value decimal
- Element...
- reason CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryOne - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationBillingnetworkstatus
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationBillingnetworkstatus datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalAdjudication
- reason CodeableConcept
- amount Money
- extension Extension[]
- modifierExtension Extension[]
- id string
- category CodeableConcept
- value decimal
- Element...
- reason CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategory - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategory
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategory datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "billingnetworkstatus") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCodingOne datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "benefitpaymentstatus") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCodingTwo
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCodingTwo datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "adjustmentreason") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryOne datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryTwo datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalBenefitBalance
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalBenefitBalance datatype record.
Fields
- Fields Included from *BackboneElement
- excluded? boolean - True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- unit? CodeableConcept - Indicates if the benefits apply to an individual or to the family.
- financial? C4BBExplanationOfBenefitInpatientInstitutionalBenefitBalanceFinancial[] - Benefits Used to date.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- name? string - A short name or tag for the benefit.
- description? string - A richer description of the benefit or services covered.
- term? CodeableConcept - The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- network? CodeableConcept - Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalBenefitBalanceFinancial
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalBenefitBalanceFinancial datatype record.
Fields
- Fields Included from *BackboneElement
- allowedExplanationOfBenefitMoney? Money - The quantity of the benefit which is permitted under the coverage.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- allowedExplanationOfBenefitUnsignedInt? unsignedInt - The quantity of the benefit which is permitted under the coverage.
- allowedExplanationOfBenefitString? string - The quantity of the benefit which is permitted under the coverage.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- usedExplanationOfBenefitUnsignedInt? unsignedInt - The quantity of the benefit which have been consumed to date.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- usedExplanationOfBenefitMoney? Money - The quantity of the benefit which have been consumed to date.
- 'type CodeableConcept - Classification of benefit being provided.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalBillablePeriod
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalBillablePeriod datatype record.
Fields
- Fields Included from *Period
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- 'start dateTime - The start of the period. The boundary is inclusive.
- end? dateTime - The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalCareTeam
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalCareTeam datatype record.
Fields
- Fields Included from *BackboneElement
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- role CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalDiagnosis
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalDiagnosis datatype record.
Fields
- Fields Included from *BackboneElement
- sequence positiveInt - A number to uniquely identify diagnosis entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- onAdmission? CodeableConcept - Indication of whether the diagnosis was present on admission to a facility.
- packageCode? CodeableConcept - A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type CodeableConcept - When the condition was observed or the relative ranking.
- diagnosisCodeableConcept CodeableConcept - The nature of illness or problem in a coded form or as a reference to an external defined Condition.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalIdentifierType
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalIdentifierType datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalIdentifierTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalIdentifierTypeCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "uc") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalIdentifierUniqueclaimid
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalIdentifierUniqueclaimid datatype record.
Fields
- Fields Included from *Identifier
- id string
- extension Extension[]
- use IdentifierUse
- type CodeableConcept
- system uri
- value string
- period Period
- assigner Reference
- Element...
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- period? Period - Time period during which identifier is/was valid for use.
- system? uri - Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
- use? C4BBExplanationOfBenefitInpatientInstitutionalIdentifierUse - The purpose of this identifier.
- assigner? Reference - Organization that issued/manages the identifier.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type C4BBExplanationOfBenefitInpatientInstitutionalIdentifierType - A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
- value string - The portion of the identifier typically relevant to the user and which is unique within the context of the system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalInsurance
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalInsurance datatype record.
Fields
- Fields Included from *BackboneElement
- coverage Reference - Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- focal boolean - A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- preAuthRef? string[] - Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItem
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItem datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- locationAddress? Address - Where the product or service was provided.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- servicedPeriod? Period - The date or dates when the service or product was supplied, performed or completed.
- adjudication? C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudication[] - If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.
- informationSequence? positiveInt[] - Exceptions, special conditions and supporting information applicable for this service or product.
- revenue CodeableConcept - The type of revenue or cost center providing the product and/or service.
- locationCodeableConcept? CodeableConcept - Where the product or service was provided.
- diagnosisSequence? positiveInt[] - Diagnoses applicable for this service or product.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationReference? Reference - Where the product or service was provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- careTeamSequence? positiveInt[] - Care team members related to this service or product.
- encounter? Reference[] - A billed item may include goods or services provided in multiple encounters.
- sequence positiveInt - A number to uniquely identify item entries.
- bodySite? CodeableConcept - Physical service site on the patient (limb, tooth, etc.).
- subSite? CodeableConcept[] - A region or surface of the bodySite, e.g. limb region or tooth surface(s).
- detail? C4BBExplanationOfBenefitInpatientInstitutionalItemDetail[] - Second-tier of goods and services.
- servicedDate? date - The date or dates when the service or product was supplied, performed or completed.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- procedureSequence? positiveInt[] - Procedures applicable for this service or product.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudication
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudication datatype record.
Fields
- Fields Included from *BackboneElement
- reason? CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationAdjudicationamounttype
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationAdjudicationamounttype datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudication
- reason CodeableConcept
- amount Money
- extension Extension[]
- modifierExtension Extension[]
- id string
- category CodeableConcept
- value decimal
- Element...
- reason? CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationAdjustmentreason
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationAdjustmentreason datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudication
- reason CodeableConcept
- amount Money
- extension Extension[]
- modifierExtension Extension[]
- id string
- category CodeableConcept
- value decimal
- Element...
- reason CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategory - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationAllowedunits
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationAllowedunits datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudication
- reason CodeableConcept
- amount Money
- extension Extension[]
- modifierExtension Extension[]
- id string
- category CodeableConcept
- value decimal
- Element...
- reason? CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryOne - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategory
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategory datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "adjustmentreason") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryCodingOne datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "allowedunits") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryOne datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemDetail
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? C4BBExplanationOfBenefitInpatientInstitutionalItemDetailSubDetail[] - Third-tier of goods and services.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- sequence positiveInt - A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- sequence positiveInt - A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalPayee
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalPayee datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type CodeableConcept - Type of Party to be reimbursed: Subscriber, provider, other.
- party? Reference - Reference to the individual or organization to whom any payment will be made.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalPayment
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalPayment datatype record.
Fields
- Fields Included from *BackboneElement
- date? date - Estimated date the payment will be issued or the actual issue date of payment.
- identifier? Identifier - Issuer's unique identifier for the payment instrument.
- adjustmentReason? CodeableConcept - Reason for the payment adjustment.
- amount? Money - Benefits payable less any payment adjustment.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- adjustment? Money - Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type? CodeableConcept - Whether this represents partial or complete payment of the benefits payable.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalProcedure
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalProcedure datatype record.
Fields
- Fields Included from *BackboneElement
- date? dateTime - Date and optionally time the procedure was performed.
- sequence positiveInt - A number to uniquely identify procedure entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- procedureCodeableConcept CodeableConcept - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- 'type CodeableConcept - When the condition was observed or the relative ranking.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalProcessNote
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalProcessNote datatype record.
Fields
- Fields Included from *BackboneElement
- number? positiveInt - A number to uniquely identify a note entry.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- language? CodeableConcept - A code to define the language used in the text of the note.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- text? string - The explanation or description associated with the processing.
- 'type? C4BBExplanationOfBenefitInpatientInstitutionalProcessNoteType - The business purpose of the note text.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalRelated
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalRelated datatype record.
Fields
- Fields Included from *BackboneElement
- reference Identifier - An alternate organizational reference to the case or file to which this particular claim pertains.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- claim? Reference - Reference to a related claim.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- relationship CodeableConcept - A code to convey how the claims are related.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSubType
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSubType datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalSubTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSubTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSubTypeCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBInstitutionalClaimSubType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "inpatient") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo datatype record.
Fields
- Fields Included from *BackboneElement
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? Coding - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate? date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoAdmissionperiod
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoAdmissionperiod datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo
- valueBoolean boolean
- reason Coding
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? Coding - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryFour - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoAdmtype
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoAdmtype datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo
- valueBoolean boolean
- reason Coding
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? Coding - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate? date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryEight - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategory
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategory datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "medicalrecordnumber") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingEight
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingEight datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "admtype") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingFive
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingFive datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "discharge-status") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingFour
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingFour datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "admissionperiod") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingOne datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "clmrecvddate") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingSeven
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingSeven datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "pointoforigin") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingSix
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingSix datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "typeofbill") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingThree
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingThree datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "patientaccountnumber") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingTwo
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingTwo datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "drg") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryEight
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryEight datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingEight[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryFive
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryFive datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingFive[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryFour
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryFour datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingFour[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryOne datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategorySeven
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategorySeven datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingSeven[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategorySix
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategorySix datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingSix[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryThree
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryThree datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingThree[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryTwo datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoClmrecvddate
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoClmrecvddate datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo
- valueBoolean boolean
- reason Coding
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? Coding - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryOne - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoDischarge_status
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoDischarge_status datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo
- valueBoolean boolean
- reason Coding
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? Coding - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate? date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryFive - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoDrg
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoDrg datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo
- valueBoolean boolean
- reason Coding
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? Coding - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate? date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryTwo - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoMedicalrecordnumber
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoMedicalrecordnumber datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo
- valueBoolean boolean
- reason Coding
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- timingDate? date - The date when or period to which this information refers.
- reason? Coding - Provides the reason in the situation where a reason code is required in addition to the content.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueString string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategory - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoPatientaccountnumber
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoPatientaccountnumber datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo
- valueBoolean boolean
- reason Coding
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- timingDate? date - The date when or period to which this information refers.
- reason? Coding - Provides the reason in the situation where a reason code is required in addition to the content.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueString string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryThree - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoPointoforigin
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoPointoforigin datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo
- valueBoolean boolean
- reason Coding
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? Coding - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate? date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategorySeven - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoTypeofbill
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoTypeofbill datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfo
- valueBoolean boolean
- reason Coding
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? Coding - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate? date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategorySix - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalTotal
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalTotal datatype record.
Fields
- Fields Included from *BackboneElement
- amount Money - Monetary total amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalTotalAdjudicationamounttype
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalTotalAdjudicationamounttype datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitInpatientInstitutionalTotal
- amount Money - Monetary total amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalType
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalType datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitInpatientInstitutionalTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalTypeCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://terminology.hl7.org/CodeSystem/claim-type") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "institutional") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInsurance
Closed record
FHIR C4BBExplanationOfBenefitInsurance datatype record.
Fields
- Fields Included from *BackboneElement
- coverage Reference - Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- focal boolean - A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- preAuthRef? string[] - Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitItem
Closed record
FHIR C4BBExplanationOfBenefitItem datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- locationAddress? Address - Where the product or service was provided.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- servicedPeriod? Period - The date or dates when the service or product was supplied, performed or completed.
- adjudication? C4BBExplanationOfBenefitItemAdjudication[] - If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.
- informationSequence? positiveInt[] - Exceptions, special conditions and supporting information applicable for this service or product.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- locationCodeableConcept? CodeableConcept - Where the product or service was provided.
- diagnosisSequence? positiveInt[] - Diagnoses applicable for this service or product.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationReference? Reference - Where the product or service was provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- careTeamSequence? positiveInt[] - Care team members related to this service or product.
- encounter? Reference[] - A billed item may include goods or services provided in multiple encounters.
- sequence positiveInt - A number to uniquely identify item entries.
- bodySite? CodeableConcept - Physical service site on the patient (limb, tooth, etc.).
- subSite? CodeableConcept[] - A region or surface of the bodySite, e.g. limb region or tooth surface(s).
- detail? C4BBExplanationOfBenefitItemDetail[] - Second-tier of goods and services.
- servicedDate? date - The date or dates when the service or product was supplied, performed or completed.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- procedureSequence? positiveInt[] - Procedures applicable for this service or product.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitItemAdjudication
Closed record
FHIR C4BBExplanationOfBenefitItemAdjudication datatype record.
Fields
- Fields Included from *BackboneElement
- reason? CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitItemDetail
Closed record
FHIR C4BBExplanationOfBenefitItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? C4BBExplanationOfBenefitItemDetailSubDetail[] - Third-tier of goods and services.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- sequence positiveInt - A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- sequence positiveInt - A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitMeta
Closed record
FHIR C4BBExplanationOfBenefitMeta datatype record.
Fields
- Fields Included from *Meta
- lastUpdated instant - When the resource last changed - e.g. when the version changed.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- security? Coding[] - Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
- versionId? id - The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
- profile canonical[] - A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'source? uri - A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
- tag? Coding[] - Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOral
FHIR C4BBExplanationOfBenefitOral resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITORAL(default RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITORAL) - The type of the resource describes
- benefitPeriod? Period - The term of the benefits documented in this response.
- insurance C4BBExplanationOfBenefitOralInsurance[] - Financial instruments for reimbursement for the health care products and services specified on the claim.
- claimResponse? Reference - The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.
- use C4BBExplanationOfBenefitOralUse - A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- preAuthRef? string[] - Reference from the Insurer which is used in later communications which refers to this adjudication.
- language? code - The base language in which the resource is written.
- 'type C4BBExplanationOfBenefitOralType - The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
- precedence? positiveInt - This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.
- processNote? C4BBExplanationOfBenefitOralProcessNote[] - A note that describes or explains adjudication results in a human readable form.
- payee? C4BBExplanationOfBenefitOralPayee - The party to be reimbursed for cost of the products and services according to the terms of the policy.
- supportingInfo? C4BBExplanationOfBenefitOralSupportingInfo[] - Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
- supportingInfo Slicings
- C4BBExplanationOfBenefitOralSupportingInfoOrthodontics: Orthodontics treatment indicator
- min = 0
- max = 1
- claim? Reference - The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.
- enterer? Reference - Individual who created the claim, predetermination or preauthorization.
- payment? C4BBExplanationOfBenefitOralPayment - Payment details for the adjudication of the claim.
- id? string - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
- text? Narrative - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
- careTeam? C4BBExplanationOfBenefitOralCareTeam[] - The members of the team who provided the products and services.
- identifier Identifier[] - A unique identifier assigned to this explanation of benefit.
- identifier Slicings
- C4BBExplanationOfBenefitOralIdentifierUniqueclaimid: Unique Claim Identifier
- min = 1
- max = 1
- item C4BBExplanationOfBenefitOralItem[] - A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.
- created dateTime - The date this resource was created.
- diagnosis? C4BBExplanationOfBenefitOralDiagnosis[] - Information about diagnoses relevant to the claim items.
- priority? CodeableConcept - The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
- preAuthRefPeriod? Period[] - The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.
- meta Meta - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
- billablePeriod Period - The period for which charges are being submitted.
- implicitRules? uri - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
- subType? CodeableConcept - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- status C4BBExplanationOfBenefitOralStatus - The status of the resource instance.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- benefitBalance? C4BBExplanationOfBenefitOralBenefitBalance[] - Balance by Benefit Category.
- accident? C4BBExplanationOfBenefitOralAccident - Details of a accident which resulted in injuries which required the products and services listed in the claim.
- adjudication C4BBExplanationOfBenefitOralAdjudication[] - The adjudication results which are presented at the header level rather than at the line-item or add-item levels.
- adjudication Slicings
- C4BBExplanationOfBenefitOralAdjudicationBillingnetworkstatus: Billing provider network status
- min = 0
- max = 1
- addItem? C4BBExplanationOfBenefitOralAddItem[] - The first-tier service adjudications for payor added product or service lines.
- total C4BBExplanationOfBenefitOralTotal[] - Categorized monetary totals for the adjudication.
- total Slicings
- C4BBExplanationOfBenefitOralTotalAdjudicationamounttype: Total adjudication type and amount
- min = 1
- max = *
- fundsReserve? CodeableConcept - A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
- fundsReserveRequested? CodeableConcept - A code to indicate whether and for whom funds are to be reserved for future claims.
- provider Reference - The provider which is responsible for the claim, predetermination or preauthorization.
- insurer Reference - The party responsible for authorization, adjudication and reimbursement.
- patient Reference - The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.
- outcome C4BBExplanationOfBenefitOralOutcome - The outcome of the claim, predetermination, or preauthorization processing.
- formCode? CodeableConcept - A code for the form to be used for printing the content.
- originalPrescription? Reference - Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
- procedure? C4BBExplanationOfBenefitOralProcedure[] - Procedures performed on the patient relevant to the billing items with the claim.
- contained? Resource[] - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
- disposition? string - A human readable description of the status of the adjudication.
- referral? Reference - A reference to a referral resource.
- form? Attachment - The actual form, by reference or inclusion, for printing the content or an EOB.
- prescription? Reference - Prescription to support the dispensing of pharmacy, device or vision products.
- facility? Reference - Facility where the services were provided.
- Element... - Rest field
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAccident
Closed record
FHIR C4BBExplanationOfBenefitOralAccident datatype record.
Fields
- Fields Included from *BackboneElement
- date? date - Date of an accident event related to the products and services contained in the claim.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationAddress? Address - The physical location of the accident event.
- locationReference? Reference - The physical location of the accident event.
- 'type? CodeableConcept - The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAddItem
Closed record
FHIR C4BBExplanationOfBenefitOralAddItem datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- locationAddress? Address - Where the product or service was provided.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- servicedPeriod? Period - The date or dates when the service or product was supplied, performed or completed.
- subDetailSequence? positiveInt[] - The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.
- itemSequence? positiveInt[] - Claim items which this service line is intended to replace.
- bodySite? CodeableConcept - Physical service site on the patient (limb, tooth, etc.).
- locationCodeableConcept? CodeableConcept - Where the product or service was provided.
- provider? Reference[] - The providers who are authorized for the services rendered to the patient.
- detailSequence? positiveInt[] - The sequence number of the details within the claim item which this line is intended to replace.
- subSite? CodeableConcept[] - A region or surface of the bodySite, e.g. limb region or tooth surface(s).
- detail? C4BBExplanationOfBenefitOralAddItemDetail[] - The second-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationReference? Reference - Where the product or service was provided.
- servicedDate? date - The date or dates when the service or product was supplied, performed or completed.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAddItemDetail
Closed record
FHIR C4BBExplanationOfBenefitOralAddItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? C4BBExplanationOfBenefitOralAddItemDetailSubDetail[] - The third-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAddItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitOralAddItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudication
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudication datatype record.
Fields
- Fields Included from *BackboneElement
- reason? CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationBenefitpaymentstatus
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationBenefitpaymentstatus datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitOralAdjudication
- reason CodeableConcept
- amount Money
- extension Extension[]
- modifierExtension Extension[]
- id string
- category CodeableConcept
- value decimal
- Element...
- reason CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitOralAdjudicationCategoryOne - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationBillingnetworkstatus
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationBillingnetworkstatus datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitOralAdjudication
- reason CodeableConcept
- amount Money
- extension Extension[]
- modifierExtension Extension[]
- id string
- category CodeableConcept
- value decimal
- Element...
- reason CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitOralAdjudicationCategory - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationCategory
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationCategory datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitOralAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationCategoryCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "billingnetworkstatus") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationCategoryCodingOne datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "benefitpaymentstatus") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationCategoryCodingTwo
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationCategoryCodingTwo datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "renderingnetworkstatus") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationCategoryOne datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitOralAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationCategoryTwo datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitOralAdjudicationCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationRenderingnetworkstatus
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationRenderingnetworkstatus datatype record.
Fields
- Fields Included from *C4BBExplanationOfBenefitOralAdjudication
- reason CodeableConcept
- amount Money
- extension Extension[]
- modifierExtension Extension[]
- id string
- category CodeableConcept
- value decimal
- Element...
- reason CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category C4BBExplanationOfBenefitOralAdjudicationCategoryTwo - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralBenefitBalance
Closed record
FHIR C4BBExplanationOfBenefitOralBenefitBalance datatype record.
Fields
- Fields Included from *BackboneElement
- excluded? boolean - True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- unit? CodeableConcept - Indicates if the benefits apply to an individual or to the family.
- financial? C4BBExplanationOfBenefitOralBenefitBalanceFinancial[] - Benefits Used to date.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- name? string - A short name or tag for the benefit.
- description? string - A richer description of the benefit or services covered.
- term? CodeableConcept - The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- network? CodeableConcept - Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralBenefitBalanceFinancial
Closed record
FHIR C4BBExplanationOfBenefitOralBenefitBalanceFinancial datatype record.
Fields
- Fields Included from *BackboneElement
- allowedExplanationOfBenefitMoney? Money - The quantity of the benefit which is permitted under the coverage.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- allowedExplanationOfBenefitUnsignedInt? unsignedInt - The quantity of the benefit which is permitted under the coverage.
- allowedExplanationOfBenefitString? string - The quantity of the benefit which is permitted under the coverage.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- usedExplanationOfBenefitUnsignedInt? unsignedInt - The quantity of the benefit which have been consumed to date.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- usedExplanationOfBenefitMoney? Money - The quantity of the benefit which have been consumed to date.
- 'type CodeableConcept - Classification of benefit being provided.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralCareTeam
Closed record
FHIR C4BBExplanationOfBenefitOralCareTeam datatype record.
Fields
- Fields Included from *BackboneElement
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- role CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralDiagnosis
Closed record
FHIR C4BBExplanationOfBenefitOralDiagnosis datatype record.
Fields
- Fields Included from *BackboneElement
- sequence positiveInt - A number to uniquely identify diagnosis entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- onAdmission? CodeableConcept - Indication of whether the diagnosis was present on admission to a facility.
- packageCode? CodeableConcept - A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type CodeableConcept - When the condition was observed or the relative ranking.
- diagnosisCodeableConcept CodeableConcept - The nature of illness or problem in a coded form or as a reference to an external defined Condition.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralIdentifierType
Closed record
FHIR C4BBExplanationOfBenefitOralIdentifierType datatype record.
Fields
- Fields Included from *CodeableConcept
- coding C4BBExplanationOfBenefitOralIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralIdentifierTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitOralIdentifierTypeCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "uc") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralIdentifierUniqueclaimid
Closed record
FHIR C4BBExplanationOfBenefitOralIdentifierUniqueclaimid datatype record.
Fields
- Fields Included from *Identifier
- id string
- extension Extension[]
- use IdentifierUse
- type CodeableConcept
- system uri
- value string
- period Period
- assigner Reference
- Element...
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- period? Period - Time period during which identifier is/was valid for use.
- system? uri - Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
- use? C4BBExplanationOfBenefitOralIdentifierUseOne - The purpose of this identifier.
- assigner? Reference - Organization that issued/manages the identifier.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type C4BBExplanationOfBenefitOralIdentifierType - A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
- value string - The portion of the identifier typically relevant to the user and which is unique within the context of the system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralInsurance
Closed record
FHIR C4BBExplanationOfBenefitOralInsurance datatype record.
Fields
- Fields Included from *BackboneElement
- coverage Reference - Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- focal boolean - A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- preAuthRef? string[] - Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralItem
Closed record
FHIR C4BBExplanationOfBenefitOralItem datatype record.
Fields
- Fields Included from *BackboneElement