Module health.fhir.r4.carinbb200
ballerinax/health.fhir.r4.carinbb200 Ballerina library
2.0.0
Ballerina package containing FHIR resource data models compliant with http://hl7.org/fhir/us/carin-bb/ implementation guide.
FHIR R4 health_fhir_r4_carinbb200 package
Package Overview
| FHIR version | R4 |
| Implementation Guide | http://hl7.org/fhir/us/carin-bb/ |
Note: This package only supports FHIR JSON payload format only. FHIR XML payload support will be added soon.
Capabilities and features
Supported FHIR resource types
| 1). C4BBPatient | [Definition] [Ballerina Record] |
| 2). C4BBOrganization | [Definition] [Ballerina Record] |
| 3). C4BBCoverage | [Definition] [Ballerina Record] |
| 4). C4BBExplanationOfBenefitOutpatientInstitutional | [Definition] [Ballerina Record] |
| 5). C4BBExplanationOfBenefitPharmacy | [Definition] [Ballerina Record] |
| 6). C4BBPractitioner | [Definition] [Ballerina Record] |
| 7). C4BBExplanationOfBenefitInpatientInstitutional | [Definition] [Ballerina Record] |
| 8). C4BBExplanationOfBenefit | [Definition] [Ballerina Record] |
| 9). C4BBExplanationOfBenefitOral | [Definition] [Ballerina Record] |
| 10). C4BBRelatedPerson | [Definition] [Ballerina Record] |
| 11). C4BBExplanationOfBenefitProfessionalNonClinician | [Definition] [Ballerina Record] |
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: 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
- 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
- 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
- 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
- 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
- coding C4BBCoverageClassTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBCoverageClassTypeCoding
Closed record
FHIR C4BBCoverageClassTypeCoding datatype record.
Fields
- 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
- 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
- coding C4BBCoverageClassTypeCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBCoverageCostToBeneficiary
Closed record
FHIR C4BBCoverageCostToBeneficiary datatype record.
Fields
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitIdentifierTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitIdentifierTypeCoding datatype record.
Fields
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCoding datatype record.
Fields
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryTwo datatype record.
Fields
- coding C4BBExplanationOfBenefitInpatientInstitutionalAdjudicationCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalBenefitBalance
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalBenefitBalance datatype record.
Fields
- 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
- 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
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitInpatientInstitutionalIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalIdentifierTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalIdentifierTypeCoding datatype record.
Fields
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryCoding datatype record.
Fields
- 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
- 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
- coding C4BBExplanationOfBenefitInpatientInstitutionalItemAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalItemDetail
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalItemDetail datatype record.
Fields
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitInpatientInstitutionalSubTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSubTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSubTypeCoding datatype record.
Fields
- 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
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCoding datatype record.
Fields
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingEight[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryFive
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryFive datatype record.
Fields
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingFive[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryFour
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryFour datatype record.
Fields
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingFour[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryOne datatype record.
Fields
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategorySeven
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategorySeven datatype record.
Fields
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingSeven[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategorySix
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategorySix datatype record.
Fields
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingSix[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryThree
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryThree datatype record.
Fields
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingThree[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryTwo datatype record.
Fields
- coding C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoClmrecvddate
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalSupportingInfoClmrecvddate datatype record.
Fields
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitInpatientInstitutionalTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitInpatientInstitutionalTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitInpatientInstitutionalTypeCoding datatype record.
Fields
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitOralAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationCategoryCoding datatype record.
Fields
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitOralAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationCategoryTwo datatype record.
Fields
- coding C4BBExplanationOfBenefitOralAdjudicationCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralAdjudicationRenderingnetworkstatus
Closed record
FHIR C4BBExplanationOfBenefitOralAdjudicationRenderingnetworkstatus datatype record.
Fields
- 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
- 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
- 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
- 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
- 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
- coding C4BBExplanationOfBenefitOralIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralIdentifierTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitOralIdentifierTypeCoding datatype record.
Fields
- 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
- 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
- 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
- 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).
- 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 C4BBExplanationOfBenefitOralItemAdjudication[] - 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.
- 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? C4BBExplanationOfBenefitOralItemDetail[] - 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: C4BBExplanationOfBenefitOralItemAdjudication
Closed record
FHIR C4BBExplanationOfBenefitOralItemAdjudication datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralItemAdjudicationAdjudicationamounttype
Closed record
FHIR C4BBExplanationOfBenefitOralItemAdjudicationAdjudicationamounttype datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralItemAdjudicationAdjustmentreason
Closed record
FHIR C4BBExplanationOfBenefitOralItemAdjudicationAdjustmentreason datatype record.
Fields
- 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 C4BBExplanationOfBenefitOralItemAdjudicationCategory - 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: C4BBExplanationOfBenefitOralItemAdjudicationAllowedunits
Closed record
FHIR C4BBExplanationOfBenefitOralItemAdjudicationAllowedunits datatype record.
Fields
- 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 C4BBExplanationOfBenefitOralItemAdjudicationCategoryTwo - 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: C4BBExplanationOfBenefitOralItemAdjudicationBenefitpaymentstatus
Closed record
FHIR C4BBExplanationOfBenefitOralItemAdjudicationBenefitpaymentstatus datatype record.
Fields
- 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 C4BBExplanationOfBenefitOralItemAdjudicationCategoryOne - 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: C4BBExplanationOfBenefitOralItemAdjudicationCategory
Closed record
FHIR C4BBExplanationOfBenefitOralItemAdjudicationCategory datatype record.
Fields
- coding C4BBExplanationOfBenefitOralItemAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralItemAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitOralItemAdjudicationCategoryCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralItemAdjudicationCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitOralItemAdjudicationCategoryCodingOne datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralItemAdjudicationCategoryCodingTwo
Closed record
FHIR C4BBExplanationOfBenefitOralItemAdjudicationCategoryCodingTwo datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralItemAdjudicationCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitOralItemAdjudicationCategoryOne datatype record.
Fields
- coding C4BBExplanationOfBenefitOralItemAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralItemAdjudicationCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitOralItemAdjudicationCategoryTwo datatype record.
Fields
- coding C4BBExplanationOfBenefitOralItemAdjudicationCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralItemDetail
Closed record
FHIR C4BBExplanationOfBenefitOralItemDetail datatype record.
Fields
- 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? C4BBExplanationOfBenefitOralItemDetailSubDetail[] - 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: C4BBExplanationOfBenefitOralItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitOralItemDetailSubDetail datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralPayee
Closed record
FHIR C4BBExplanationOfBenefitOralPayee datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralPayment
Closed record
FHIR C4BBExplanationOfBenefitOralPayment datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralProcedure
Closed record
FHIR C4BBExplanationOfBenefitOralProcedure datatype record.
Fields
- 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).
- procedureReference Reference - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- 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: C4BBExplanationOfBenefitOralProcessNote
Closed record
FHIR C4BBExplanationOfBenefitOralProcessNote datatype record.
Fields
- 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? C4BBExplanationOfBenefitOralProcessNoteType - The business purpose of the note text.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralRelated
Closed record
FHIR C4BBExplanationOfBenefitOralRelated datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralSupportingInfo
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfo datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralSupportingInfoAdditionalbodysite
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoAdditionalbodysite datatype record.
Fields
- 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 C4BBExplanationOfBenefitOralSupportingInfoCategorySeven - 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: C4BBExplanationOfBenefitOralSupportingInfoCategory
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategory datatype record.
Fields
- coding C4BBExplanationOfBenefitOralSupportingInfoCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralSupportingInfoCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryCoding datatype record.
Fields
- 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 "orthodontics") - 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: C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingFive
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingFive datatype record.
Fields
- 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 "prosthesis") - 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: C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingFour
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingFour datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingOne datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingSeven
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingSeven datatype record.
Fields
- 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 "additionalbodysite") - 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: C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingSix
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingSix datatype record.
Fields
- 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 "missingtoothnumber") - 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: C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingThree
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingThree datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingTwo
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingTwo datatype record.
Fields
- 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 "servicefacility") - 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: C4BBExplanationOfBenefitOralSupportingInfoCategoryFive
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryFive datatype record.
Fields
- coding C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingFive[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralSupportingInfoCategoryFour
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryFour datatype record.
Fields
- coding C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingFour[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralSupportingInfoCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryOne datatype record.
Fields
- coding C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralSupportingInfoCategorySeven
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategorySeven datatype record.
Fields
- coding C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingSeven[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralSupportingInfoCategorySix
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategorySix datatype record.
Fields
- coding C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingSix[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralSupportingInfoCategoryThree
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryThree datatype record.
Fields
- coding C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingThree[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralSupportingInfoCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoCategoryTwo datatype record.
Fields
- coding C4BBExplanationOfBenefitOralSupportingInfoCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralSupportingInfoClmrecvddate
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoClmrecvddate datatype record.
Fields
- 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 C4BBExplanationOfBenefitOralSupportingInfoCategoryThree - 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: C4BBExplanationOfBenefitOralSupportingInfoMedicalrecordnumber
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoMedicalrecordnumber datatype record.
Fields
- 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 C4BBExplanationOfBenefitOralSupportingInfoCategoryOne - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralSupportingInfoMissingtoothnumber
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoMissingtoothnumber datatype record.
Fields
- 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 C4BBExplanationOfBenefitOralSupportingInfoCategorySix - 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: C4BBExplanationOfBenefitOralSupportingInfoOrthodontics
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoOrthodontics datatype record.
Fields
- 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.
- 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 C4BBExplanationOfBenefitOralSupportingInfoCategory - 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: C4BBExplanationOfBenefitOralSupportingInfoPatientaccountnumber
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoPatientaccountnumber datatype record.
Fields
- 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 C4BBExplanationOfBenefitOralSupportingInfoCategoryFour - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralSupportingInfoProsthesis
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoProsthesis datatype record.
Fields
- timingDate? date - The date when or period to which this information refers.
- 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.
- 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.
- 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 C4BBExplanationOfBenefitOralSupportingInfoCategoryFive - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralSupportingInfoServicefacility
Closed record
FHIR C4BBExplanationOfBenefitOralSupportingInfoServicefacility datatype record.
Fields
- 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.
- 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).
- 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 C4BBExplanationOfBenefitOralSupportingInfoCategoryTwo - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralTotal
Closed record
FHIR C4BBExplanationOfBenefitOralTotal datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralTotalAdjudicationamounttype
Closed record
FHIR C4BBExplanationOfBenefitOralTotalAdjudicationamounttype datatype record.
Fields
- 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: C4BBExplanationOfBenefitOralType
Closed record
FHIR C4BBExplanationOfBenefitOralType datatype record.
Fields
- coding C4BBExplanationOfBenefitOralTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOralTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitOralTypeCoding datatype record.
Fields
- 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 "oral") - 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: C4BBExplanationOfBenefitOutpatientInstitutional
FHIR C4BBExplanationOfBenefitOutpatientInstitutional resource record.
Fields
- resourceType RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITOUTPATIENTINSTITUTIONAL(default RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITOUTPATIENTINSTITUTIONAL) - The type of the resource describes
- benefitPeriod? Period - The term of the benefits documented in this response.
- insurance C4BBExplanationOfBenefitOutpatientInstitutionalInsurance[] - 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 C4BBExplanationOfBenefitOutpatientInstitutionalUse - 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 C4BBExplanationOfBenefitOutpatientInstitutionalType - 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? C4BBExplanationOfBenefitOutpatientInstitutionalProcessNote[] - A note that describes or explains adjudication results in a human readable form.
- payee? C4BBExplanationOfBenefitOutpatientInstitutionalPayee - The party to be reimbursed for cost of the products and services according to the terms of the policy.
- supportingInfo? C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfo[] - Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
- supportingInfo Slicings
- C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoMedicalrecordnumber: 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? C4BBExplanationOfBenefitOutpatientInstitutionalPayment - 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? C4BBExplanationOfBenefitOutpatientInstitutionalCareTeam[] - The members of the team who provided the products and services.
- identifier Identifier[] - A unique identifier assigned to this explanation of benefit.
- identifier Slicings
- C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierUniqueclaimid: Unique Claim Identifier
- min = 1
- max = 1
- item C4BBExplanationOfBenefitOutpatientInstitutionalItem[] - 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 C4BBExplanationOfBenefitOutpatientInstitutionalDiagnosis[] - 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 C4BBExplanationOfBenefitOutpatientInstitutionalSubType - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- status C4BBExplanationOfBenefitOutpatientInstitutionalStatus - 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? C4BBExplanationOfBenefitOutpatientInstitutionalBenefitBalance[] - Balance by Benefit Category.
- accident? C4BBExplanationOfBenefitOutpatientInstitutionalAccident - Details of a accident which resulted in injuries which required the products and services listed in the claim.
- adjudication C4BBExplanationOfBenefitOutpatientInstitutionalAdjudication[] - The adjudication results which are presented at the header level rather than at the line-item or add-item levels.
- adjudication Slicings
- C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationBillingnetworkstatus: Billing provider networking status
- min = 0
- max = 1
- addItem? C4BBExplanationOfBenefitOutpatientInstitutionalAddItem[] - The first-tier service adjudications for payor added product or service lines.
- total C4BBExplanationOfBenefitOutpatientInstitutionalTotal[] - Categorized monetary totals for the adjudication.
- total Slicings
- C4BBExplanationOfBenefitOutpatientInstitutionalTotalAdjudicationamounttype: 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 C4BBExplanationOfBenefitOutpatientInstitutionalOutcome - 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? C4BBExplanationOfBenefitOutpatientInstitutionalProcedure[] - 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: C4BBExplanationOfBenefitOutpatientInstitutionalAccident
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAccident datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalAddItem
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAddItem datatype record.
Fields
- 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? C4BBExplanationOfBenefitOutpatientInstitutionalAddItemDetail[] - 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: C4BBExplanationOfBenefitOutpatientInstitutionalAddItemDetail
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAddItemDetail datatype record.
Fields
- 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? C4BBExplanationOfBenefitOutpatientInstitutionalAddItemDetailSubDetail[] - 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: C4BBExplanationOfBenefitOutpatientInstitutionalAddItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAddItemDetailSubDetail datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalAdjudication
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAdjudication datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationAdjustmentreason
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationAdjustmentreason datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryTwo - 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: C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationBenefitpaymentstatus
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationBenefitpaymentstatus datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryOne - 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: C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationBillingnetworkstatus
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationBillingnetworkstatus datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategory - 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: C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategory
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategory datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryCodingOne datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryCodingTwo
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryCodingTwo datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryOne datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryTwo datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalAdjudicationCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalBenefitBalance
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalBenefitBalance datatype record.
Fields
- 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? C4BBExplanationOfBenefitOutpatientInstitutionalBenefitBalanceFinancial[] - 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: C4BBExplanationOfBenefitOutpatientInstitutionalBenefitBalanceFinancial
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalBenefitBalanceFinancial datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalCareTeam
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalCareTeam datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalDiagnosis
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalDiagnosis datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierType
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierType datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierTypeCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierUniqueclaimid
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierUniqueclaimid datatype record.
Fields
- 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? C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierUse - 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 C4BBExplanationOfBenefitOutpatientInstitutionalIdentifierType - 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: C4BBExplanationOfBenefitOutpatientInstitutionalInsurance
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalInsurance datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalItem
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalItem datatype record.
Fields
- 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.
- adjudication? C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudication[] - 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? C4BBExplanationOfBenefitOutpatientInstitutionalItemDetail[] - 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: C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudication
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudication datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationAdjudicationamounttype
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationAdjudicationamounttype datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationAdjustmentreason
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationAdjustmentreason datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategory - 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: C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationAllowedunits
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationAllowedunits datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategoryOne - 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: C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategory
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategory datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategoryCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategoryCodingOne datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategoryOne datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalItemAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalItemDetail
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalItemDetail datatype record.
Fields
- 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? C4BBExplanationOfBenefitOutpatientInstitutionalItemDetailSubDetail[] - 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: C4BBExplanationOfBenefitOutpatientInstitutionalItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalItemDetailSubDetail datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalPayee
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalPayee datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalPayment
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalPayment datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalProcedure
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalProcedure datatype record.
Fields
- 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).
- procedureReference Reference - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalProcessNote
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalProcessNote datatype record.
Fields
- 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? C4BBExplanationOfBenefitOutpatientInstitutionalProcessNoteType - The business purpose of the note text.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalRelated
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalRelated datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalSubType
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSubType datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalSubTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalSubTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSubTypeCoding datatype record.
Fields
- 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 "outpatient") - 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfo
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfo datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoAdmtype
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoAdmtype datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategorySix - 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategory
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategory datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingFive
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingFive datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingFour
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingFour datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingOne datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingSix
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingSix datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingThree
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingThree datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingTwo
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingTwo datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryFive
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryFive datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingFive[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryFour
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryFour datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingFour[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryOne datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategorySix
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategorySix datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingSix[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryThree
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryThree datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingThree[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryTwo datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoClmrecvddate
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoClmrecvddate datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryOne - 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoDischarge_status
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoDischarge_status datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryThree - 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoMedicalrecordnumber
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoMedicalrecordnumber datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategory - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoPatientaccountnumber
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoPatientaccountnumber datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryTwo - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoPointoforigin
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoPointoforigin datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryFive - 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: C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoTypeofbill
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoTypeofbill datatype record.
Fields
- 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 C4BBExplanationOfBenefitOutpatientInstitutionalSupportingInfoCategoryFour - 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: C4BBExplanationOfBenefitOutpatientInstitutionalTotal
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalTotal datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalTotalAdjudicationamounttype
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalTotalAdjudicationamounttype datatype record.
Fields
- 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: C4BBExplanationOfBenefitOutpatientInstitutionalType
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalType datatype record.
Fields
- coding C4BBExplanationOfBenefitOutpatientInstitutionalTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitOutpatientInstitutionalTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitOutpatientInstitutionalTypeCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitPayee
Closed record
FHIR C4BBExplanationOfBenefitPayee datatype record.
Fields
- 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: C4BBExplanationOfBenefitPayment
Closed record
FHIR C4BBExplanationOfBenefitPayment datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacy
FHIR C4BBExplanationOfBenefitPharmacy resource record.
Fields
- resourceType RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITPHARMACY(default RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITPHARMACY) - The type of the resource describes
- benefitPeriod? Period - The term of the benefits documented in this response.
- insurance C4BBExplanationOfBenefitPharmacyInsurance[] - 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 C4BBExplanationOfBenefitPharmacyUse - 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 C4BBExplanationOfBenefitPharmacyType - 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? C4BBExplanationOfBenefitPharmacyProcessNote[] - A note that describes or explains adjudication results in a human readable form.
- payee? C4BBExplanationOfBenefitPharmacyPayee - The party to be reimbursed for cost of the products and services according to the terms of the policy.
- supportingInfo C4BBExplanationOfBenefitPharmacySupportingInfo[] - Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
- supportingInfo Slicings
- C4BBExplanationOfBenefitPharmacySupportingInfoRxoriginCode: Prescription origin code
- 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? C4BBExplanationOfBenefitPharmacyPayment - 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? C4BBExplanationOfBenefitPharmacyCareTeam[] - The members of the team who provided the products and services.
- identifier Identifier[] - A unique identifier assigned to this explanation of benefit.
- identifier Slicings
- C4BBExplanationOfBenefitPharmacyIdentifierUniqueclaimid: Unique Claim Identifier
- min = 1
- max = 1
- item C4BBExplanationOfBenefitPharmacyItem[] - 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? C4BBExplanationOfBenefitPharmacyDiagnosis[] - 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 C4BBExplanationOfBenefitPharmacyStatus - 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? C4BBExplanationOfBenefitPharmacyBenefitBalance[] - Balance by Benefit Category.
- accident? C4BBExplanationOfBenefitPharmacyAccident - Details of a accident which resulted in injuries which required the products and services listed in the claim.
- adjudication C4BBExplanationOfBenefitPharmacyAdjudication[] - The adjudication results which are presented at the header level rather than at the line-item or add-item levels.
- adjudication Slicings
- C4BBExplanationOfBenefitPharmacyAdjudicationBillingnetworkstatus: Billing provider networking status
- min = 0
- max = 1
- addItem? C4BBExplanationOfBenefitPharmacyAddItem[] - The first-tier service adjudications for payor added product or service lines.
- total C4BBExplanationOfBenefitPharmacyTotal[] - Categorized monetary totals for the adjudication.
- total Slicings
- C4BBExplanationOfBenefitPharmacyTotalAdjudicationamounttype: 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 C4BBExplanationOfBenefitPharmacyOutcome - 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? C4BBExplanationOfBenefitPharmacyProcedure[] - 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: C4BBExplanationOfBenefitPharmacyAccident
Closed record
FHIR C4BBExplanationOfBenefitPharmacyAccident datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyAddItem
Closed record
FHIR C4BBExplanationOfBenefitPharmacyAddItem datatype record.
Fields
- 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? C4BBExplanationOfBenefitPharmacyAddItemDetail[] - 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: C4BBExplanationOfBenefitPharmacyAddItemDetail
Closed record
FHIR C4BBExplanationOfBenefitPharmacyAddItemDetail datatype record.
Fields
- 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? C4BBExplanationOfBenefitPharmacyAddItemDetailSubDetail[] - 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: C4BBExplanationOfBenefitPharmacyAddItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitPharmacyAddItemDetailSubDetail datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyAdjudication
Closed record
FHIR C4BBExplanationOfBenefitPharmacyAdjudication datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyAdjudicationBenefitpaymentstatus
Closed record
FHIR C4BBExplanationOfBenefitPharmacyAdjudicationBenefitpaymentstatus datatype record.
Fields
- 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 C4BBExplanationOfBenefitPharmacyAdjudicationCategoryOne - 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: C4BBExplanationOfBenefitPharmacyAdjudicationBillingnetworkstatus
Closed record
FHIR C4BBExplanationOfBenefitPharmacyAdjudicationBillingnetworkstatus datatype record.
Fields
- 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 C4BBExplanationOfBenefitPharmacyAdjudicationCategory - 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: C4BBExplanationOfBenefitPharmacyAdjudicationCategory
Closed record
FHIR C4BBExplanationOfBenefitPharmacyAdjudicationCategory datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacyAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacyAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitPharmacyAdjudicationCategoryCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyAdjudicationCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitPharmacyAdjudicationCategoryCodingOne datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyAdjudicationCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitPharmacyAdjudicationCategoryOne datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacyAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacyBenefitBalance
Closed record
FHIR C4BBExplanationOfBenefitPharmacyBenefitBalance datatype record.
Fields
- 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? C4BBExplanationOfBenefitPharmacyBenefitBalanceFinancial[] - 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: C4BBExplanationOfBenefitPharmacyBenefitBalanceFinancial
Closed record
FHIR C4BBExplanationOfBenefitPharmacyBenefitBalanceFinancial datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyCareTeam
Closed record
FHIR C4BBExplanationOfBenefitPharmacyCareTeam datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyDiagnosis
Closed record
FHIR C4BBExplanationOfBenefitPharmacyDiagnosis datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyIdentifierType
Closed record
FHIR C4BBExplanationOfBenefitPharmacyIdentifierType datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacyIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacyIdentifierTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitPharmacyIdentifierTypeCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyIdentifierUniqueclaimid
Closed record
FHIR C4BBExplanationOfBenefitPharmacyIdentifierUniqueclaimid datatype record.
Fields
- 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? C4BBExplanationOfBenefitPharmacyIdentifierUse - 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 C4BBExplanationOfBenefitPharmacyIdentifierType - 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: C4BBExplanationOfBenefitPharmacyInsurance
Closed record
FHIR C4BBExplanationOfBenefitPharmacyInsurance datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyItem
Closed record
FHIR C4BBExplanationOfBenefitPharmacyItem datatype record.
Fields
- 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.
- adjudication C4BBExplanationOfBenefitPharmacyItemAdjudication[] - 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? C4BBExplanationOfBenefitPharmacyItemDetail[] - 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: C4BBExplanationOfBenefitPharmacyItemAdjudication
Closed record
FHIR C4BBExplanationOfBenefitPharmacyItemAdjudication datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyItemAdjudicationAdjudicationamounttype
Closed record
FHIR C4BBExplanationOfBenefitPharmacyItemAdjudicationAdjudicationamounttype datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyItemAdjudicationCategory
Closed record
FHIR C4BBExplanationOfBenefitPharmacyItemAdjudicationCategory datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacyItemAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacyItemAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitPharmacyItemAdjudicationCategoryCoding datatype record.
Fields
- 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 "rejectreason") - 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: C4BBExplanationOfBenefitPharmacyItemAdjudicationRejectreason
Closed record
FHIR C4BBExplanationOfBenefitPharmacyItemAdjudicationRejectreason datatype record.
Fields
- 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 C4BBExplanationOfBenefitPharmacyItemAdjudicationCategory - 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: C4BBExplanationOfBenefitPharmacyItemDetail
Closed record
FHIR C4BBExplanationOfBenefitPharmacyItemDetail datatype record.
Fields
- 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? C4BBExplanationOfBenefitPharmacyItemDetailSubDetail[] - 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: C4BBExplanationOfBenefitPharmacyItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitPharmacyItemDetailSubDetail datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyPayee
Closed record
FHIR C4BBExplanationOfBenefitPharmacyPayee datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyPayment
Closed record
FHIR C4BBExplanationOfBenefitPharmacyPayment datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyProcedure
Closed record
FHIR C4BBExplanationOfBenefitPharmacyProcedure datatype record.
Fields
- 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).
- procedureReference Reference - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- 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: C4BBExplanationOfBenefitPharmacyProcessNote
Closed record
FHIR C4BBExplanationOfBenefitPharmacyProcessNote datatype record.
Fields
- 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? C4BBExplanationOfBenefitPharmacyProcessNoteType - The business purpose of the note text.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacyRelated
Closed record
FHIR C4BBExplanationOfBenefitPharmacyRelated datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacySupportingInfo
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfo datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacySupportingInfoBrandgenericindicator
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoBrandgenericindicator datatype record.
Fields
- 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 C4BBExplanationOfBenefitPharmacySupportingInfoCategoryFive - 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: C4BBExplanationOfBenefitPharmacySupportingInfoCategory
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategory datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCoding datatype record.
Fields
- 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 "rxorigincode") - 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: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingFive
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingFive datatype record.
Fields
- 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 "brandgenericindicator") - 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: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingFour
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingFour datatype record.
Fields
- 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 "dawcode") - 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: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingOne datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingSeven
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingSeven datatype record.
Fields
- 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 "dayssupply") - 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: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingSix
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingSix datatype record.
Fields
- 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 "compoundcode") - 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: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingThree
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingThree datatype record.
Fields
- 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 "refillnum") - 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: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingTwo
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingTwo datatype record.
Fields
- 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 "refillsauthorized") - 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: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryFive
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryFive datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingFive[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryFour
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryFour datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingFour[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryOne datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacySupportingInfoCategorySeven
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategorySeven datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingSeven[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacySupportingInfoCategorySix
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategorySix datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingSix[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryThree
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryThree datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingThree[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacySupportingInfoCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCategoryTwo datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacySupportingInfoCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacySupportingInfoClmrecvddate
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoClmrecvddate datatype record.
Fields
- 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 C4BBExplanationOfBenefitPharmacySupportingInfoCategoryOne - 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: C4BBExplanationOfBenefitPharmacySupportingInfoCompoundcode
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoCompoundcode datatype record.
Fields
- 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 C4BBExplanationOfBenefitPharmacySupportingInfoCategorySix - 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: C4BBExplanationOfBenefitPharmacySupportingInfoDawcode
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoDawcode datatype record.
Fields
- 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 C4BBExplanationOfBenefitPharmacySupportingInfoCategoryFour - 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: C4BBExplanationOfBenefitPharmacySupportingInfoDayssupply
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoDayssupply datatype record.
Fields
- 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.
- 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 C4BBExplanationOfBenefitPharmacySupportingInfoCategorySeven - 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: C4BBExplanationOfBenefitPharmacySupportingInfoRefillNum
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoRefillNum datatype record.
Fields
- 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.
- 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 C4BBExplanationOfBenefitPharmacySupportingInfoCategoryThree - 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: C4BBExplanationOfBenefitPharmacySupportingInfoRefillsAuthorized
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoRefillsAuthorized datatype record.
Fields
- 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.
- 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 C4BBExplanationOfBenefitPharmacySupportingInfoCategoryTwo - 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: C4BBExplanationOfBenefitPharmacySupportingInfoRxoriginCode
Closed record
FHIR C4BBExplanationOfBenefitPharmacySupportingInfoRxoriginCode datatype record.
Fields
- 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 C4BBExplanationOfBenefitPharmacySupportingInfoCategory - 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: C4BBExplanationOfBenefitPharmacyTotal
Closed record
FHIR C4BBExplanationOfBenefitPharmacyTotal datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyTotalAdjudicationamounttype
Closed record
FHIR C4BBExplanationOfBenefitPharmacyTotalAdjudicationamounttype datatype record.
Fields
- 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: C4BBExplanationOfBenefitPharmacyType
Closed record
FHIR C4BBExplanationOfBenefitPharmacyType datatype record.
Fields
- coding C4BBExplanationOfBenefitPharmacyTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitPharmacyTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitPharmacyTypeCoding datatype record.
Fields
- 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 "pharmacy") - 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: C4BBExplanationOfBenefitProcedure
Closed record
FHIR C4BBExplanationOfBenefitProcedure datatype record.
Fields
- 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).
- procedureReference Reference - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- 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: C4BBExplanationOfBenefitProcessNote
Closed record
FHIR C4BBExplanationOfBenefitProcessNote datatype record.
Fields
- 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? C4BBExplanationOfBenefitProcessNoteType - The business purpose of the note text.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinician
FHIR C4BBExplanationOfBenefitProfessionalNonClinician resource record.
Fields
- resourceType RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITPROFESSIONALNONCLINICIAN(default RESOURCE_NAME_C4BBEXPLANATIONOFBENEFITPROFESSIONALNONCLINICIAN) - The type of the resource describes
- benefitPeriod? Period - The term of the benefits documented in this response.
- insurance C4BBExplanationOfBenefitProfessionalNonClinicianInsurance[] - 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 C4BBExplanationOfBenefitProfessionalNonClinicianUse - 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? C4BBExplanationOfBenefitProfessionalNonClinicianProcessNote[] - A note that describes or explains adjudication results in a human readable form.
- payee? C4BBExplanationOfBenefitProfessionalNonClinicianPayee - The party to be reimbursed for cost of the products and services according to the terms of the policy.
- supportingInfo? C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfo[] - Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
- supportingInfo Slicings
- C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoMedicalrecordnumber: 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? C4BBExplanationOfBenefitProfessionalNonClinicianPayment - 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? C4BBExplanationOfBenefitProfessionalNonClinicianCareTeam[] - The members of the team who provided the products and services.
- identifier Identifier[] - A unique identifier assigned to this explanation of benefit.
- identifier Slicings
- C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierUniqueclaimid: Unique Claim Identifier
- min = 1
- max = 1
- item C4BBExplanationOfBenefitProfessionalNonClinicianItem[] - 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 C4BBExplanationOfBenefitProfessionalNonClinicianDiagnosis[] - 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 C4BBExplanationOfBenefitProfessionalNonClinicianStatus - 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? C4BBExplanationOfBenefitProfessionalNonClinicianBenefitBalance[] - Balance by Benefit Category.
- accident? C4BBExplanationOfBenefitProfessionalNonClinicianAccident - Details of a accident which resulted in injuries which required the products and services listed in the claim.
- adjudication? C4BBExplanationOfBenefitProfessionalNonClinicianAdjudication[] - The adjudication results which are presented at the header level rather than at the line-item or add-item levels.
- adjudication Slicings
- C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationBillingnetworkstatus: Billing provider networking status
- min = 0
- max = 1
- addItem? C4BBExplanationOfBenefitProfessionalNonClinicianAddItem[] - The first-tier service adjudications for payor added product or service lines.
- total C4BBExplanationOfBenefitProfessionalNonClinicianTotal[] - Categorized monetary totals for the adjudication.
- total Slicings
- C4BBExplanationOfBenefitProfessionalNonClinicianTotalAdjudicationamounttype: 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 C4BBExplanationOfBenefitProfessionalNonClinicianOutcome - 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? C4BBExplanationOfBenefitProfessionalNonClinicianProcedure[] - 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: C4BBExplanationOfBenefitProfessionalNonClinicianAccident
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianAccident datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianAddItem
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianAddItem datatype record.
Fields
- 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? C4BBExplanationOfBenefitProfessionalNonClinicianAddItemDetail[] - 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: C4BBExplanationOfBenefitProfessionalNonClinicianAddItemDetail
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianAddItemDetail datatype record.
Fields
- 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? C4BBExplanationOfBenefitProfessionalNonClinicianAddItemDetailSubDetail[] - 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: C4BBExplanationOfBenefitProfessionalNonClinicianAddItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianAddItemDetailSubDetail datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianAdjudication
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianAdjudication datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationBillingnetworkstatus
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationBillingnetworkstatus datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategory - 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: C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategory
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategory datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategoryCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategoryCodingOne datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategoryOne datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationRenderingnetworkstatus
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationRenderingnetworkstatus datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianAdjudicationCategoryOne - 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: C4BBExplanationOfBenefitProfessionalNonClinicianBenefitBalance
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianBenefitBalance datatype record.
Fields
- 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? C4BBExplanationOfBenefitProfessionalNonClinicianBenefitBalanceFinancial[] - 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: C4BBExplanationOfBenefitProfessionalNonClinicianBenefitBalanceFinancial
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianBenefitBalanceFinancial datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianCareTeam
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianCareTeam datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianDiagnosis
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianDiagnosis datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierType
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierType datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierTypeCoding
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierTypeCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierUniqueclaimid
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierUniqueclaimid datatype record.
Fields
- 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? C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierUseOne - 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 C4BBExplanationOfBenefitProfessionalNonClinicianIdentifierType - 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: C4BBExplanationOfBenefitProfessionalNonClinicianInsurance
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianInsurance datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianItem
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItem datatype record.
Fields
- 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).
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudication[] - 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.
- 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? C4BBExplanationOfBenefitProfessionalNonClinicianItemDetail[] - 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: C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudication
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudication datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationAdjudicationamounttype
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationAdjudicationamounttype datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationAdjustmentreason
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationAdjustmentreason datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategory - 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: C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationAllowedunits
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationAllowedunits datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryTwo - 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: C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationBenefitpaymentstatus
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationBenefitpaymentstatus datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryOne - 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: C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategory
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategory datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryCodingOne datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryCodingTwo
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryCodingTwo datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryOne datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryTwo datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianItemAdjudicationCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianItemDetail
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemDetail datatype record.
Fields
- 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? C4BBExplanationOfBenefitProfessionalNonClinicianItemDetailSubDetail[] - 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: C4BBExplanationOfBenefitProfessionalNonClinicianItemDetailSubDetail
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianItemDetailSubDetail datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianPayee
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianPayee datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianPayment
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianPayment datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianProcedure
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianProcedure datatype record.
Fields
- 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).
- procedureReference Reference - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianProcessNote
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianProcessNote datatype record.
Fields
- 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? C4BBExplanationOfBenefitProfessionalNonClinicianProcessNoteType - The business purpose of the note text.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianRelated
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianRelated datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfo
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfo datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoAmbulancetransportreason
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoAmbulancetransportreason datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategorySeven - 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategory
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategory datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCoding
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCoding datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingEight
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingEight datatype record.
Fields
- 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 "pickuplocation") - 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingFive
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingFive datatype record.
Fields
- 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 "roudtrippurpose") - 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingFour
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingFour datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingNine
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingNine datatype record.
Fields
- 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 "dropofflocation") - 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingOne
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingOne datatype record.
Fields
- 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 "servicefacility") - 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingSeven
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingSeven datatype record.
Fields
- 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 "ambulancetransportreason") - 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingSix
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingSix datatype record.
Fields
- 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 "stretcherpurpose") - 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingTen
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingTen datatype record.
Fields
- 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 "patientweight") - 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingThree
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingThree datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingTwo
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingTwo datatype record.
Fields
- 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 "transportationdistance") - 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryEight
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryEight datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingEight[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryFive
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryFive datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingFive[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryFour
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryFour datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingFour[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryNine
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryNine datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingNine[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryOne
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryOne datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategorySeven
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategorySeven datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingSeven[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategorySix
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategorySix datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingSix[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryTen
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryTen datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingTen[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryThree
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryThree datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingThree[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryTwo
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryTwo datatype record.
Fields
- coding C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoClmrecvddate
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoClmrecvddate datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryThree - 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoDropofflocation
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoDropofflocation datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryNine - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoMedicalrecordnumber
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoMedicalrecordnumber datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategory - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoPatientaccountnumber
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoPatientaccountnumber datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryFour - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoPatientweight
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoPatientweight datatype record.
Fields
- 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.
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryTen - 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: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoPickuplocation
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoPickuplocation datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryEight - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoRoudtrippurpose
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoRoudtrippurpose datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryFive - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoServicefacility
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoServicefacility datatype record.
Fields
- 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.
- 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).
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryOne - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoStretcherpurpose
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoStretcherpurpose datatype record.
Fields
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategorySix - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.carinbb200: C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoTransportationdistance
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoTransportationdistance datatype record.
Fields
- 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.
- 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 C4BBExplanationOfBenefitProfessionalNonClinicianSupportingInfoCategoryTwo - 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: C4BBExplanationOfBenefitProfessionalNonClinicianTotal
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianTotal datatype record.
Fields
- 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: C4BBExplanationOfBenefitProfessionalNonClinicianTotalAdjudicationamounttype
Closed record
FHIR C4BBExplanationOfBenefitProfessionalNonClinicianTotalAdjudicationamounttype datatype record.
Fields
- 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: C4BBExplanationOfBenefitRelated
Closed record
FHIR C4BBExplanationOfBenefitRelated datatype record.
Fields
- 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: C4BBExplanationOfBenefitSupportingInfo
Closed record
FHIR C4BBExplanationOfBenefitSupportingInfo datatype record.
Fields
- 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: C4BBExplanationOfBenefitTotal
Closed record
FHIR C4BBExplanationOfBenefitTotal datatype record.
Fields
- 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: C4BBOrganization
FHIR C4BBOrganization resource record.
Fields
- resourceType RESOURCE_NAME_C4BBORGANIZATION(default RESOURCE_NAME_C4BBORGANIZATION) - The type of the resource describes
- identifier? Identifier[] - Identifier for the organization that is used to identify the organization across multiple disparate systems.
- identifier Slicings
- C4BBOrganizationIdentifierNPI: National Provider Identifier (NPI)
- min = 0
- max = 1
- partOf? Reference - The organization of which this organization forms a part.
- 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.
- address? Address[] - An address for the organization.
- 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).
- active boolean - Whether the organization's record is still in active use.
- language? code - The base language in which the resource is written.
- 'type? CodeableConcept[] - The kind(s) of organization that this is.
- 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.
- endpoint? Reference[] - Technical endpoints providing access to services operated for the organization.
- meta C4BBOrganizationMeta - 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.
- contact? C4BBOrganizationContact[] - Contact for the organization for a certain purpose.
- name string - A name associated with the organization.
- alias? string[] - A list of alternate names that the organization is known as, or was known as in the past.
- 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.
- telecom? ContactPoint[] - A contact detail for the organization.
- 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.
- Element... - Rest field
health.fhir.r4.carinbb200: C4BBOrganizationContact
Closed record
FHIR C4BBOrganizationContact datatype record.
Fields
- 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.
- address? Address - Visiting or postal addresses for the contact.
- purpose? CodeableConcept - Indicates a purpose for which the contact can be reached.
- 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? HumanName - A name associated with the contact.
- telecom? ContactPoint[] - A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.
- 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: C4BBOrganizationIdentifierCLIA
Closed record
FHIR C4BBOrganizationIdentifierCLIA datatype record.
Fields
- system uri(default "urn:oid:2.16.840.1.113883.4.7") - Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
health.fhir.r4.carinbb200: C4BBOrganizationIdentifierNaiccode
Closed record
FHIR C4BBOrganizationIdentifierNaiccode datatype record.
Fields
- system uri(default "urn:oid:2.16.840.1.113883.6.300") - Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
- 'type C4BBOrganizationIdentifierTypeThree - A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
health.fhir.r4.carinbb200: C4BBOrganizationIdentifierNPI
Closed record
FHIR C4BBOrganizationIdentifierNPI datatype record.
Fields
- system uri(default "http://hl7.org/fhir/sid/us-npi") - Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
- 'type C4BBOrganizationIdentifierType - A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
health.fhir.r4.carinbb200: C4BBOrganizationIdentifierPayerid
Closed record
FHIR C4BBOrganizationIdentifierPayerid datatype record.
Fields
- 'type C4BBOrganizationIdentifierTypeOne - A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
health.fhir.r4.carinbb200: C4BBOrganizationIdentifierTax
Closed record
FHIR C4BBOrganizationIdentifierTax datatype record.
Fields
- system uri(default "urn:oid:2.16.840.1.113883.4.4") - Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
- 'type C4BBOrganizationIdentifierTypeTwo - A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
health.fhir.r4.carinbb200: C4BBOrganizationIdentifierType
Closed record
FHIR C4BBOrganizationIdentifierType datatype record.
Fields
- coding C4BBOrganizationIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBOrganizationIdentifierTypeCoding
Closed record
FHIR C4BBOrganizationIdentifierTypeCoding datatype record.
Fields
- system uri(default "http://terminology.hl7.org/CodeSystem/v2-0203") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "NPI") - 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: C4BBOrganizationIdentifierTypeCodingOne
Closed record
FHIR C4BBOrganizationIdentifierTypeCodingOne datatype record.
Fields
- 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 "payerid") - 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: C4BBOrganizationIdentifierTypeCodingThree
Closed record
FHIR C4BBOrganizationIdentifierTypeCodingThree datatype record.
Fields
- 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 "naiccode") - 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: C4BBOrganizationIdentifierTypeCodingTwo
Closed record
FHIR C4BBOrganizationIdentifierTypeCodingTwo datatype record.
Fields
- system uri(default "http://terminology.hl7.org/CodeSystem/v2-0203") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "TAX") - 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: C4BBOrganizationIdentifierTypeOne
Closed record
FHIR C4BBOrganizationIdentifierTypeOne datatype record.
Fields
- coding C4BBOrganizationIdentifierTypeCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBOrganizationIdentifierTypeThree
Closed record
FHIR C4BBOrganizationIdentifierTypeThree datatype record.
Fields
- coding C4BBOrganizationIdentifierTypeCodingThree[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBOrganizationIdentifierTypeTwo
Closed record
FHIR C4BBOrganizationIdentifierTypeTwo datatype record.
Fields
- coding C4BBOrganizationIdentifierTypeCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBOrganizationMeta
Closed record
FHIR C4BBOrganizationMeta datatype record.
Fields
- 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: C4BBPatient
FHIR C4BBPatient resource record.
Fields
- resourceType RESOURCE_NAME_C4BBPATIENT(default RESOURCE_NAME_C4BBPATIENT) - The type of the resource describes
- extension? Extension[] - An Extension
- gender C4BBPatientGender - Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.
- 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).
- link? C4BBPatientLink[] - Link to another patient resource that concerns the same actual patient.
- language? code - The base language in which the resource is written.
- contact? C4BBPatientContact[] - A contact party (e.g. guardian, partner, friend) for the patient.
- deceasedDateTime? dateTime - Indicates if the individual is deceased or not.
- generalPractitioner? Reference[] - Patient's nominated care provider.
- telecom? ContactPoint[] - A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
- 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.
- communication? C4BBPatientCommunication[] - A language which may be used to communicate with the patient about his or her health.
- identifier C4BBPatientIdentifier[] - An identifier for this patient.
- identifier Slicings
- C4BBPatientIdentifierUniquememberid: Unique Member ID
- min = 0
- max = *
- address? C4BBPatientAddress[] - An address for the individual.
- multipleBirthBoolean? boolean - Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).
- active? boolean - Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
- photo? Attachment[] - Image of the patient.
- birthDate? date - The date of birth for the individual.
- 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.
- deceasedBoolean? boolean - Indicates if the individual is deceased or not.
- managingOrganization? Reference - Organization that is the custodian of the patient record.
- meta C4BBPatientMeta - 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.
- multipleBirthInteger? integer - Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).
- name HumanName[] - A name associated with the individual.
- 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.
- maritalStatus? CodeableConcept - This field contains a patient's most recent marital (civil) status.
- Element... - Rest field
health.fhir.r4.carinbb200: C4BBPatientAddress
Closed record
FHIR C4BBPatientAddress datatype record.
Fields
- country? string - Country - a nation as commonly understood or generally accepted.
- 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 when address was/is in use.
- city? string - The name of the city, town, suburb, village or other community or delivery center.
- line? string[] - This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
- use? C4BBPatientAddressUse - The purpose of this address.
- district? string - The name of the administrative area (county).
- postalCode? string - A postal code designating a region defined by the postal 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.
- state? string - Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).
- text? string - Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
- 'type? C4BBPatientAddressType - Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
health.fhir.r4.carinbb200: C4BBPatientCommunication
Closed record
FHIR C4BBPatientCommunication datatype record.
Fields
- 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 - The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. 'en' for English, or 'en-US' for American English versus 'en-EN' for England English.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- preferred? boolean - Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
health.fhir.r4.carinbb200: C4BBPatientContact
Closed record
FHIR C4BBPatientContact datatype record.
Fields
- 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 period during which this contact person or organization is valid to be contacted relating to this patient.
- address? Address - Address for the contact person.
- gender? C4BBPatientContactGender - Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.
- 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).
- organization? Reference - Organization on behalf of which the contact is acting or for which the contact is working.
- name? HumanName - A name associated with the contact person.
- telecom? ContactPoint[] - A contact detail for the person, e.g. a telephone number or an email address.
- 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[] - The nature of the relationship between the patient and the contact person.
health.fhir.r4.carinbb200: C4BBPatientIdentifier
Closed record
FHIR C4BBPatientIdentifier datatype record.
Fields
- 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? C4BBPatientIdentifierUse - 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: C4BBPatientIdentifierMemberid
Closed record
FHIR C4BBPatientIdentifierMemberid datatype record.
Fields
- 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? C4BBPatientIdentifierUseTwo - 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 C4BBPatientIdentifierTypeOne - 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: C4BBPatientIdentifierType
Closed record
FHIR C4BBPatientIdentifierType datatype record.
Fields
- coding C4BBPatientIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBPatientIdentifierTypeCoding
Closed record
FHIR C4BBPatientIdentifierTypeCoding datatype record.
Fields
- 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 "um") - 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: C4BBPatientIdentifierTypeCodingOne
Closed record
FHIR C4BBPatientIdentifierTypeCodingOne datatype record.
Fields
- system uri(default "http://terminology.hl7.org/CodeSystem/v2-0203") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "MB") - 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: C4BBPatientIdentifierTypeOne
Closed record
FHIR C4BBPatientIdentifierTypeOne datatype record.
Fields
- coding C4BBPatientIdentifierTypeCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBPatientIdentifierUniquememberid
Closed record
FHIR C4BBPatientIdentifierUniquememberid datatype record.
Fields
- 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? C4BBPatientIdentifierUseOne - 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 C4BBPatientIdentifierType - 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: C4BBPatientLink
Closed record
FHIR C4BBPatientLink datatype record.
Fields
- 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.
- other Reference - The other patient resource that the link refers to.
- 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 C4BBPatientLinkType - The type of link between this patient resource and another patient resource.
health.fhir.r4.carinbb200: C4BBPatientMeta
Closed record
FHIR C4BBPatientMeta datatype record.
Fields
- 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: C4BBPractitioner
FHIR C4BBPractitioner resource record.
Fields
- resourceType RESOURCE_NAME_C4BBPRACTITIONER(default RESOURCE_NAME_C4BBPRACTITIONER) - The type of the resource describes
- identifier Identifier[] - An identifier that applies to this person in this role.
- identifier Slicings
- C4BBPractitionerIdentifierNPI: National Provider Identifier
- min = 0
- max = 1
- 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.
- address? Address[] - Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.
- gender? C4BBPractitionerGender - Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.
- 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).
- active? boolean - Whether this practitioner's record is in active use.
- photo? Attachment[] - Image of the person.
- language? code - The base language in which the resource is written.
- birthDate? date - The date of birth for the practitioner.
- qualification? C4BBPractitionerQualification[] - The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.
- 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.
- meta C4BBPractitionerMeta - 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.
- name HumanName[] - The name(s) associated with the practitioner.
- 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.
- telecom? ContactPoint[] - A contact detail for the practitioner, e.g. a telephone number or an email address.
- 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.
- communication? CodeableConcept[] - A language the practitioner can use in patient communication.
- Element... - Rest field
health.fhir.r4.carinbb200: C4BBPractitionerIdentifierNPI
Closed record
FHIR C4BBPractitionerIdentifierNPI datatype record.
Fields
- system uri(default "http://hl7.org/fhir/sid/us-npi") - Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
- 'type C4BBPractitionerIdentifierType - A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
health.fhir.r4.carinbb200: C4BBPractitionerIdentifierTax
Closed record
FHIR C4BBPractitionerIdentifierTax datatype record.
Fields
- system uri(default "urn:oid:2.16.840.1.113883.4.4") - Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
- 'type C4BBPractitionerIdentifierTypeOne - A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
health.fhir.r4.carinbb200: C4BBPractitionerIdentifierType
Closed record
FHIR C4BBPractitionerIdentifierType datatype record.
Fields
- coding C4BBPractitionerIdentifierTypeCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBPractitionerIdentifierTypeCoding
Closed record
FHIR C4BBPractitionerIdentifierTypeCoding datatype record.
Fields
- system uri(default "http://terminology.hl7.org/CodeSystem/v2-0203") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "NPI") - 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: C4BBPractitionerIdentifierTypeCodingOne
Closed record
FHIR C4BBPractitionerIdentifierTypeCodingOne datatype record.
Fields
- system uri(default "http://terminology.hl7.org/CodeSystem/v2-0203") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "TAX") - 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: C4BBPractitionerIdentifierTypeOne
Closed record
FHIR C4BBPractitionerIdentifierTypeOne datatype record.
Fields
- coding C4BBPractitionerIdentifierTypeCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.carinbb200: C4BBPractitionerMeta
Closed record
FHIR C4BBPractitionerMeta datatype record.
Fields
- 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: C4BBPractitionerQualification
Closed record
FHIR C4BBPractitionerQualification datatype record.
Fields
- identifier? Identifier[] - An identifier that applies to this person's qualification in this role.
- 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 - Period during which the qualification is valid.
- code CodeableConcept - Coded representation of the qualification.
- 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.
- issuer? Reference - Organization that regulates and issues the qualification.
health.fhir.r4.carinbb200: C4BBRelatedPerson
FHIR C4BBRelatedPerson resource record.
Fields
- resourceType RESOURCE_NAME_C4BBRELATEDPERSON(default RESOURCE_NAME_C4BBRELATEDPERSON) - The type of the resource describes
- identifier? Identifier[] - Identifier for a person within a particular scope.
- 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.
- period? Period - The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown.
- address? Address[] - Address where the related person can be contacted or visited.
- gender? C4BBRelatedPersonGender - Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.
- 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).
- active boolean - Whether this related person record is in active use.
- photo? Attachment[] - Image of the person.
- language? code - The base language in which the resource is written.
- birthDate? date - The date on which the related person was born.
- 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.
- meta C4BBRelatedPersonMeta - 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.
- patient Reference - The patient this person is related to.
- name? HumanName[] - A name associated with the person.
- 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.
- telecom? ContactPoint[] - A contact detail for the person, e.g. a telephone number or an email address.
- 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.
- communication? C4BBRelatedPersonCommunication[] - A language which may be used to communicate with about the patient's health.
- relationship? CodeableConcept[] - The nature of the relationship between a patient and the related person.
- Element... - Rest field
health.fhir.r4.carinbb200: C4BBRelatedPersonCommunication
Closed record
FHIR C4BBRelatedPersonCommunication datatype record.
Fields
- 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 - The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. 'en' for English, or 'en-US' for American English versus 'en-EN' for England English.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- preferred? boolean - Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
health.fhir.r4.carinbb200: C4BBRelatedPersonMeta
Closed record
FHIR C4BBRelatedPersonMeta datatype record.
Fields
- 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.