ExplanationOfBenefit
ExplanationOfBenefit view.
Columns
| Name | Type | Description |
| id | String | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| lastUpdated | Datetime | 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 | String | 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. |
| language | String | The base language in which the resource is written. |
| text_div | String | The div of the text. 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. |
| text_status | String | The status of the text. 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. |
| contained | String | 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. |
| extension | String | 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. |
| modifierExtension | String | 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). |
| identifier_value | String | The value of the identifier. A unique identifier assigned to this explanation of benefit. |
| identifier_use | String | The identifier-use of the identifier-use. A unique identifier assigned to this explanation of benefit. |
| identifier_type_coding | String | The coding of the identifier-type. A unique identifier assigned to this explanation of benefit. |
| identifier_type_text | String | The text of the identifier-type. A unique identifier assigned to this explanation of benefit. |
| identifier_system | String | The identifier-system of the identifier-system. A unique identifier assigned to this explanation of benefit. |
| identifier_period_start | String | The start of the identifier-period. A unique identifier assigned to this explanation of benefit. |
| identifier_period_end | String | The end of the identifier-period. A unique identifier assigned to this explanation of benefit. |
| status | String | The status of the resource instance. |
| type_coding | String | The coding of the type. The category of claim, e.g. oral, pharmacy, vision, institutional, professional. |
| type_text | String | The text of the type. The category of claim, e.g. oral, pharmacy, vision, institutional, professional. |
| subType_coding | String | The coding of the subType. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service. |
| subType_text | String | The text of the subType. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service. |
| use | String | 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. |
| patient_display | String | The display of the patient. 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. |
| patient_reference | String | The reference of the patient. 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. |
| patient_identifier_value | String | The value of the patient-identifier. 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. |
| patient_type | String | The patient-type of the patient-type. 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. |
| billablePeriod_start | Datetime | The start of the billablePeriod. The period for which charges are being submitted. |
| billablePeriod_end | Datetime | The end of the billablePeriod. The period for which charges are being submitted. |
| created | Datetime | The date this resource was created. |
| enterer_display | String | The display of the enterer. Individual who created the claim, predetermination or preauthorization. |
| enterer_reference | String | The reference of the enterer. Individual who created the claim, predetermination or preauthorization. |
| enterer_identifier_value | String | The value of the enterer-identifier. Individual who created the claim, predetermination or preauthorization. |
| enterer_type | String | The enterer-type of the enterer-type. Individual who created the claim, predetermination or preauthorization. |
| insurer_display | String | The display of the insurer. The party responsible for authorization, adjudication and reimbursement. |
| insurer_reference | String | The reference of the insurer. The party responsible for authorization, adjudication and reimbursement. |
| insurer_identifier_value | String | The value of the insurer-identifier. The party responsible for authorization, adjudication and reimbursement. |
| insurer_type | String | The insurer-type of the insurer-type. The party responsible for authorization, adjudication and reimbursement. |
| provider_display | String | The display of the provider. The provider which is responsible for the claim, predetermination or preauthorization. |
| provider_reference | String | The reference of the provider. The provider which is responsible for the claim, predetermination or preauthorization. |
| provider_identifier_value | String | The value of the provider-identifier. The provider which is responsible for the claim, predetermination or preauthorization. |
| provider_type | String | The provider-type of the provider-type. The provider which is responsible for the claim, predetermination or preauthorization. |
| priority_coding | String | The coding of the priority. The provider-required urgency of processing the request. Typical values include: stat, routine deferred. |
| priority_text | String | The text of the priority. The provider-required urgency of processing the request. Typical values include: stat, routine deferred. |
| fundsReserveRequested_coding | String | The coding of the fundsReserveRequested. A code to indicate whether and for whom funds are to be reserved for future claims. |
| fundsReserveRequested_text | String | The text of the fundsReserveRequested. A code to indicate whether and for whom funds are to be reserved for future claims. |
| fundsReserve_coding | String | The coding of the fundsReserve. A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom. |
| fundsReserve_text | String | The text of the fundsReserve. A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom. |
| related_id | String | The related-id of the related-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| related_extension | String | The related-extension of the related-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| related_modifierExtension | String | The related-modifierExtension of the related-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| related_claim_display | String | The display of the related-claim. Reference to a related claim. |
| related_claim_reference | String | The reference of the related-claim. Reference to a related claim. |
| related_claim_identifier_value | String | The value of the related-claim-identifier. Reference to a related claim. |
| related_claim_type | String | The related-claim-type of the related-claim-type. Reference to a related claim. |
| related_relationship_coding | String | The coding of the related-relationship. A code to convey how the claims are related. |
| related_relationship_text | String | The text of the related-relationship. A code to convey how the claims are related. |
| related_reference_value | String | The value of the related-reference. An alternate organizational reference to the case or file to which this particular claim pertains. |
| related_reference_use | String | The related-reference-use of the related-reference-use. An alternate organizational reference to the case or file to which this particular claim pertains. |
| related_reference_type_coding | String | The coding of the related-reference-type. An alternate organizational reference to the case or file to which this particular claim pertains. |
| related_reference_type_text | String | The text of the related-reference-type. An alternate organizational reference to the case or file to which this particular claim pertains. |
| related_reference_system | String | The related-reference-system of the related-reference-system. An alternate organizational reference to the case or file to which this particular claim pertains. |
| related_reference_period_start | Datetime | The start of the related-reference-period. An alternate organizational reference to the case or file to which this particular claim pertains. |
| related_reference_period_end | Datetime | The end of the related-reference-period. An alternate organizational reference to the case or file to which this particular claim pertains. |
| prescription_display | String | The display of the prescription. Prescription to support the dispensing of pharmacy, device or vision products. |
| prescription_reference | String | The reference of the prescription. Prescription to support the dispensing of pharmacy, device or vision products. |
| prescription_identifier_value | String | The value of the prescription-identifier. Prescription to support the dispensing of pharmacy, device or vision products. |
| prescription_type | String | The prescription-type of the prescription-type. Prescription to support the dispensing of pharmacy, device or vision products. |
| originalPrescription_display | String | The display of the originalPrescription. Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products. |
| originalPrescription_reference | String | The reference of the originalPrescription. Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products. |
| originalPrescription_identifier_value | String | The value of the originalPrescription-identifier. Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products. |
| originalPrescription_type | String | The originalPrescription-type of the originalPrescription-type. Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products. |
| payee_id | String | The payee-id of the payee-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| payee_extension | String | The payee-extension of the payee-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| payee_modifierExtension | String | The payee-modifierExtension of the payee-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| payee_type_coding | String | The coding of the payee-type. Type of Party to be reimbursed: Subscriber, provider, other. |
| payee_type_text | String | The text of the payee-type. Type of Party to be reimbursed: Subscriber, provider, other. |
| payee_party_display | String | The display of the payee-party. Reference to the individual or organization to whom any payment will be made. |
| payee_party_reference | String | The reference of the payee-party. Reference to the individual or organization to whom any payment will be made. |
| payee_party_identifier_value | String | The value of the payee-party-identifier. Reference to the individual or organization to whom any payment will be made. |
| payee_party_type | String | The payee-party-type of the payee-party-type. Reference to the individual or organization to whom any payment will be made. |
| referral_display | String | The display of the referral. A reference to a referral resource. |
| referral_reference | String | The reference of the referral. A reference to a referral resource. |
| referral_identifier_value | String | The value of the referral-identifier. A reference to a referral resource. |
| referral_type | String | The referral-type of the referral-type. A reference to a referral resource. |
| facility_display | String | The display of the facility. Facility where the services were provided. |
| facility_reference | String | The reference of the facility. Facility where the services were provided. |
| facility_identifier_value | String | The value of the facility-identifier. Facility where the services were provided. |
| facility_type | String | The facility-type of the facility-type. Facility where the services were provided. |
| claim_display | String | The display of the claim. The business identifier for the instance of the adjudication request: claim predetermination or preauthorization. |
| claim_reference | String | The reference of the claim. The business identifier for the instance of the adjudication request: claim predetermination or preauthorization. |
| claim_identifier_value | String | The value of the claim-identifier. The business identifier for the instance of the adjudication request: claim predetermination or preauthorization. |
| claim_type | String | The claim-type of the claim-type. The business identifier for the instance of the adjudication request: claim predetermination or preauthorization. |
| claimResponse_display | String | The display of the claimResponse. The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response. |
| claimResponse_reference | String | The reference of the claimResponse. The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response. |
| claimResponse_identifier_value | String | The value of the claimResponse-identifier. The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response. |
| claimResponse_type | String | The claimResponse-type of the claimResponse-type. The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response. |
| outcome | String | The outcome of the claim, predetermination, or preauthorization processing. |
| disposition | String | A human readable description of the status of the adjudication. |
| preAuthRef | String | Reference from the Insurer which is used in later communications which refers to this adjudication. |
| preAuthRefPeriod_start | String | The start of the preAuthRefPeriod. The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided. |
| preAuthRefPeriod_end | String | The end of the preAuthRefPeriod. The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided. |
| careTeam_id | String | The careTeam-id of the careTeam-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| careTeam_extension | String | The careTeam-extension of the careTeam-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| careTeam_modifierExtension | String | The careTeam-modifierExtension of the careTeam-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| careTeam_sequence | Int | The careTeam-sequence of the careTeam-sequence. A number to uniquely identify care team entries. |
| careTeam_provider_display | String | The display of the careTeam-provider. Member of the team who provided the product or service. |
| careTeam_provider_reference | String | The reference of the careTeam-provider. Member of the team who provided the product or service. |
| careTeam_provider_identifier_value | String | The value of the careTeam-provider-identifier. Member of the team who provided the product or service. |
| careTeam_provider_type | String | The careTeam-provider-type of the careTeam-provider-type. Member of the team who provided the product or service. |
| careTeam_responsible | Bool | The careTeam-responsible of the careTeam-responsible. The party who is billing and/or responsible for the claimed products or services. |
| careTeam_role_coding | String | The coding of the careTeam-role. The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team. |
| careTeam_role_text | String | The text of the careTeam-role. The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team. |
| careTeam_qualification_coding | String | The coding of the careTeam-qualification. The qualification of the practitioner which is applicable for this service. |
| careTeam_qualification_text | String | The text of the careTeam-qualification. The qualification of the practitioner which is applicable for this service. |
| supportingInfo_id | String | The supportingInfo-id of the supportingInfo-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| supportingInfo_extension | String | The supportingInfo-extension of the supportingInfo-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| supportingInfo_modifierExtension | String | The supportingInfo-modifierExtension of the supportingInfo-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| supportingInfo_sequence | Int | The supportingInfo-sequence of the supportingInfo-sequence. A number to uniquely identify supporting information entries. |
| supportingInfo_category_coding | String | The coding of the supportingInfo-category. The general class of the information supplied: information; exception; accident, employment; onset, etc. |
| supportingInfo_category_text | String | The text of the supportingInfo-category. The general class of the information supplied: information; exception; accident, employment; onset, etc. |
| supportingInfo_code_coding | String | The coding of the supportingInfo-code. System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought. |
| supportingInfo_code_text | String | The text of the supportingInfo-code. System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought. |
| supportingInfo_timing_x_ | Date | The supportingInfo-timing[x] of the supportingInfo-timing[x]. The date when or period to which this information refers. |
| supportingInfo_value_x_ | Bool | The supportingInfo-value[x] of the supportingInfo-value[x]. Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data. |
| supportingInfo_reason_version | String | The version of the supportingInfo-reason. Provides the reason in the situation where a reason code is required in addition to the content. |
| supportingInfo_reason_code | String | The code of the supportingInfo-reason. Provides the reason in the situation where a reason code is required in addition to the content. |
| supportingInfo_reason_display | String | The display of the supportingInfo-reason. Provides the reason in the situation where a reason code is required in addition to the content. |
| supportingInfo_reason_userSelected | Bool | The userSelected of the supportingInfo-reason. Provides the reason in the situation where a reason code is required in addition to the content. |
| supportingInfo_reason_system | String | The supportingInfo-reason-system of the supportingInfo-reason-system. Provides the reason in the situation where a reason code is required in addition to the content. |
| diagnosis_id | String | The diagnosis-id of the diagnosis-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| diagnosis_extension | String | The diagnosis-extension of the diagnosis-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| diagnosis_modifierExtension | String | The diagnosis-modifierExtension of the diagnosis-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| diagnosis_sequence | Int | The diagnosis-sequence of the diagnosis-sequence. A number to uniquely identify diagnosis entries. |
| diagnosis_diagnosis_x_coding | String | The coding of the diagnosis-diagnosis[x]. The nature of illness or problem in a coded form or as a reference to an external defined Condition. |
| diagnosis_diagnosis_x_text | String | The text of the diagnosis-diagnosis[x]. The nature of illness or problem in a coded form or as a reference to an external defined Condition. |
| diagnosis_type_coding | String | The coding of the diagnosis-type. When the condition was observed or the relative ranking. |
| diagnosis_type_text | String | The text of the diagnosis-type. When the condition was observed or the relative ranking. |
| diagnosis_onAdmission_coding | String | The coding of the diagnosis-onAdmission. Indication of whether the diagnosis was present on admission to a facility. |
| diagnosis_onAdmission_text | String | The text of the diagnosis-onAdmission. Indication of whether the diagnosis was present on admission to a facility. |
| diagnosis_packageCode_coding | String | The coding of the diagnosis-packageCode. 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. |
| diagnosis_packageCode_text | String | The text of the diagnosis-packageCode. 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. |
| procedure_id | String | The procedure-id of the procedure-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| procedure_extension | String | The procedure-extension of the procedure-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| procedure_modifierExtension | String | The procedure-modifierExtension of the procedure-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| procedure_sequence | Int | The procedure-sequence of the procedure-sequence. A number to uniquely identify procedure entries. |
| procedure_type_coding | String | The coding of the procedure-type. When the condition was observed or the relative ranking. |
| procedure_type_text | String | The text of the procedure-type. When the condition was observed or the relative ranking. |
| procedure_date | Datetime | The procedure-date of the procedure-date. Date and optionally time the procedure was performed. |
| procedure_procedure_x_coding | String | The coding of the procedure-procedure[x]. The code or reference to a Procedure resource which identifies the clinical intervention performed. |
| procedure_procedure_x_text | String | The text of the procedure-procedure[x]. The code or reference to a Procedure resource which identifies the clinical intervention performed. |
| procedure_udi_display | String | The display of the procedure-udi. Unique Device Identifiers associated with this line item. |
| procedure_udi_reference | String | The reference of the procedure-udi. Unique Device Identifiers associated with this line item. |
| procedure_udi_identifier_value | String | The value of the procedure-udi-identifier. Unique Device Identifiers associated with this line item. |
| procedure_udi_type | String | The procedure-udi-type of the procedure-udi-type. Unique Device Identifiers associated with this line item. |
| precedence | Int | This indicates the relative order of a series of EOBs related to different coverages for the same suite of services. |
| insurance_id | String | The insurance-id of the insurance-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| insurance_extension | String | The insurance-extension of the insurance-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| insurance_modifierExtension | String | The insurance-modifierExtension of the insurance-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| insurance_focal | Bool | The insurance-focal of the insurance-focal. A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true. |
| insurance_coverage_display | String | The display of the insurance-coverage. 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. |
| insurance_coverage_reference | String | The reference of the insurance-coverage. 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. |
| insurance_coverage_identifier_value | String | The value of the insurance-coverage-identifier. 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. |
| insurance_coverage_type | String | The insurance-coverage-type of the insurance-coverage-type. 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. |
| insurance_preAuthRef | String | The insurance-preAuthRef of the insurance-preAuthRef. 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. |
| accident_id | String | The accident-id of the accident-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| accident_extension | String | The accident-extension of the accident-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| accident_modifierExtension | String | The accident-modifierExtension of the accident-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| accident_date | Date | The accident-date of the accident-date. Date of an accident event related to the products and services contained in the claim. |
| accident_type_coding | String | The coding of the accident-type. The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers. |
| accident_type_text | String | The text of the accident-type. The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers. |
| accident_location_x_text | String | The text of the accident-location[x]. The physical location of the accident event. |
| accident_location_x_line | String | The line of the accident-location[x]. The physical location of the accident event. |
| accident_location_x_city | String | The city of the accident-location[x]. The physical location of the accident event. |
| accident_location_x_district | String | The district of the accident-location[x]. The physical location of the accident event. |
| accident_location_x_state | String | The state of the accident-location[x]. The physical location of the accident event. |
| accident_location_x_postalCode | String | The postalCode of the accident-location[x]. The physical location of the accident event. |
| accident_location_x_country | String | The country of the accident-location[x]. The physical location of the accident event. |
| accident_location_x_type | String | The accident-location[x]-type of the accident-location[x]-type. The physical location of the accident event. |
| accident_location_x_period_start | Datetime | The start of the accident-location[x]-period. The physical location of the accident event. |
| accident_location_x_period_end | Datetime | The end of the accident-location[x]-period. The physical location of the accident event. |
| accident_location_x_use | String | The accident-location[x]-use of the accident-location[x]-use. The physical location of the accident event. |
| item_id | String | The item-id of the item-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| item_extension | String | The item-extension of the item-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| item_modifierExtension | String | The item-modifierExtension of the item-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| item_sequence | Int | The item-sequence of the item-sequence. A number to uniquely identify item entries. |
| item_careTeamSequence | String | The item-careTeamSequence of the item-careTeamSequence. Care team members related to this service or product. |
| item_diagnosisSequence | String | The item-diagnosisSequence of the item-diagnosisSequence. Diagnoses applicable for this service or product. |
| item_procedureSequence | String | The item-procedureSequence of the item-procedureSequence. Procedures applicable for this service or product. |
| item_informationSequence | String | The item-informationSequence of the item-informationSequence. Exceptions, special conditions and supporting information applicable for this service or product. |
| item_revenue_coding | String | The coding of the item-revenue. The type of revenue or cost center providing the product and/or service. |
| item_revenue_text | String | The text of the item-revenue. The type of revenue or cost center providing the product and/or service. |
| item_category_coding | String | The coding of the item-category. Code to identify the general type of benefits under which products and services are provided. |
| item_category_text | String | The text of the item-category. Code to identify the general type of benefits under which products and services are provided. |
| item_productOrService_coding | String | The coding of the item-productOrService. 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. |
| item_productOrService_text | String | The text of the item-productOrService. 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. |
| item_modifier_coding | String | The coding of the item-modifier. Item typification or modifiers codes to convey additional context for the product or service. |
| item_modifier_text | String | The text of the item-modifier. Item typification or modifiers codes to convey additional context for the product or service. |
| item_programCode_coding | String | The coding of the item-programCode. Identifies the program under which this may be recovered. |
| item_programCode_text | String | The text of the item-programCode. Identifies the program under which this may be recovered. |
| item_serviced_x_ | Date | The item-serviced[x] of the item-serviced[x]. The date or dates when the service or product was supplied, performed or completed. |
| item_location_x_coding | String | The coding of the item-location[x]. Where the product or service was provided. |
| item_location_x_text | String | The text of the item-location[x]. Where the product or service was provided. |
| item_quantity_value | Decimal | The value of the item-quantity. The number of repetitions of a service or product. |
| item_quantity_unit | String | The unit of the item-quantity. The number of repetitions of a service or product. |
| item_quantity_system | String | The system of the item-quantity. The number of repetitions of a service or product. |
| item_quantity_comparator | String | The item-quantity-comparator of the item-quantity-comparator. The number of repetitions of a service or product. |
| item_quantity_code | String | The item-quantity-code of the item-quantity-code. The number of repetitions of a service or product. |
| item_unitPrice | String | The item-unitPrice of the item-unitPrice. 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. |
| item_factor | Decimal | The item-factor of the item-factor. 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. |
| item_net | String | The item-net of the item-net. The quantity times the unit price for an additional service or product or charge. |
| item_udi_display | String | The display of the item-udi. Unique Device Identifiers associated with this line item. |
| item_udi_reference | String | The reference of the item-udi. Unique Device Identifiers associated with this line item. |
| item_udi_identifier_value | String | The value of the item-udi-identifier. Unique Device Identifiers associated with this line item. |
| item_udi_type | String | The item-udi-type of the item-udi-type. Unique Device Identifiers associated with this line item. |
| item_bodySite_coding | String | The coding of the item-bodySite. Physical service site on the patient (limb, tooth, etc.). |
| item_bodySite_text | String | The text of the item-bodySite. Physical service site on the patient (limb, tooth, etc.). |
| item_subSite_coding | String | The coding of the item-subSite. A region or surface of the bodySite, e.g. limb region or tooth surface(s). |
| item_subSite_text | String | The text of the item-subSite. A region or surface of the bodySite, e.g. limb region or tooth surface(s). |
| item_encounter_display | String | The display of the item-encounter. A billed item may include goods or services provided in multiple encounters. |
| item_encounter_reference | String | The reference of the item-encounter. A billed item may include goods or services provided in multiple encounters. |
| item_encounter_identifier_value | String | The value of the item-encounter-identifier. A billed item may include goods or services provided in multiple encounters. |
| item_encounter_type | String | The item-encounter-type of the item-encounter-type. A billed item may include goods or services provided in multiple encounters. |
| item_noteNumber | String | The item-noteNumber of the item-noteNumber. The numbers associated with notes below which apply to the adjudication of this item. |
| item_adjudication_id | String | The item-adjudication-id of the item-adjudication-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| item_adjudication_extension | String | The item-adjudication-extension of the item-adjudication-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| item_adjudication_modifierExtension | String | The item-adjudication-modifierExtension of the item-adjudication-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| item_adjudication_category_coding | String | The coding of the item-adjudication-category. 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. |
| item_adjudication_category_text | String | The text of the item-adjudication-category. 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. |
| item_adjudication_reason_coding | String | The coding of the item-adjudication-reason. A code supporting the understanding of the adjudication result and explaining variance from expected amount. |
| item_adjudication_reason_text | String | The text of the item-adjudication-reason. A code supporting the understanding of the adjudication result and explaining variance from expected amount. |
| item_adjudication_amount | String | The item-adjudication-amount of the item-adjudication-amount. Monetary amount associated with the category. |
| item_adjudication_value | Decimal | The item-adjudication-value of the item-adjudication-value. A non-monetary value associated with the category. Mutually exclusive to the amount element above. |
| item_detail_id | String | The item-detail-id of the item-detail-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| item_detail_extension | String | The item-detail-extension of the item-detail-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| item_detail_modifierExtension | String | The item-detail-modifierExtension of the item-detail-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| item_detail_sequence | Int | The item-detail-sequence of the item-detail-sequence. A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items. |
| item_detail_revenue_coding | String | The coding of the item-detail-revenue. The type of revenue or cost center providing the product and/or service. |
| item_detail_revenue_text | String | The text of the item-detail-revenue. The type of revenue or cost center providing the product and/or service. |
| item_detail_category_coding | String | The coding of the item-detail-category. Code to identify the general type of benefits under which products and services are provided. |
| item_detail_category_text | String | The text of the item-detail-category. Code to identify the general type of benefits under which products and services are provided. |
| item_detail_productOrService_coding | String | The coding of the item-detail-productOrService. 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. |
| item_detail_productOrService_text | String | The text of the item-detail-productOrService. 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. |
| item_detail_modifier_coding | String | The coding of the item-detail-modifier. Item typification or modifiers codes to convey additional context for the product or service. |
| item_detail_modifier_text | String | The text of the item-detail-modifier. Item typification or modifiers codes to convey additional context for the product or service. |
| item_detail_programCode_coding | String | The coding of the item-detail-programCode. Identifies the program under which this may be recovered. |
| item_detail_programCode_text | String | The text of the item-detail-programCode. Identifies the program under which this may be recovered. |
| item_detail_quantity_value | Decimal | The value of the item-detail-quantity. The number of repetitions of a service or product. |
| item_detail_quantity_unit | String | The unit of the item-detail-quantity. The number of repetitions of a service or product. |
| item_detail_quantity_system | String | The system of the item-detail-quantity. The number of repetitions of a service or product. |
| item_detail_quantity_comparator | String | The item-detail-quantity-comparator of the item-detail-quantity-comparator. The number of repetitions of a service or product. |
| item_detail_quantity_code | String | The item-detail-quantity-code of the item-detail-quantity-code. The number of repetitions of a service or product. |
| item_detail_unitPrice | String | The item-detail-unitPrice of the item-detail-unitPrice. 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. |
| item_detail_factor | Decimal | The item-detail-factor of the item-detail-factor. 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. |
| item_detail_net | String | The item-detail-net of the item-detail-net. The quantity times the unit price for an additional service or product or charge. |
| item_detail_udi_display | String | The display of the item-detail-udi. Unique Device Identifiers associated with this line item. |
| item_detail_udi_reference | String | The reference of the item-detail-udi. Unique Device Identifiers associated with this line item. |
| item_detail_udi_identifier_value | String | The value of the item-detail-udi-identifier. Unique Device Identifiers associated with this line item. |
| item_detail_udi_type | String | The item-detail-udi-type of the item-detail-udi-type. Unique Device Identifiers associated with this line item. |
| item_detail_noteNumber | String | The item-detail-noteNumber of the item-detail-noteNumber. The numbers associated with notes below which apply to the adjudication of this item. |
| SP_source | String | The SP_source search parameter. |
| SP_facility | String | The SP_facility search parameter. |
| SP_text | String | The SP_text search parameter. |
| SP_coverage | String | The SP_coverage search parameter. |
| SP_content | String | The SP_content search parameter. |
| SP_securitySP_start | String | The SP_securitySP_start search parameter. |
| SP_procedure_udi | String | The SP_procedure_udi search parameter. |
| SP_tagSP_start | String | The SP_tagSP_start search parameter. |
| SP_claim | String | The SP_claim search parameter. |
| SP_identifier_start | String | The SP_identifier_start search parameter. |
| SP_detail_udi | String | The SP_detail_udi search parameter. |
| SP_encounter | String | The SP_encounter search parameter. |
| SP_list | String | The SP_list search parameter. |
| SP_identifier_end | String | The SP_identifier_end search parameter. |
| SP_enterer | String | The SP_enterer search parameter. |
| SP_profile | String | The SP_profile search parameter. |
| SP_tagSP_end | String | The SP_tagSP_end search parameter. |
| SP_patient | String | The SP_patient search parameter. |
| SP_care_team | String | The SP_care_team search parameter. |
| SP_securitySP_end | String | The SP_securitySP_end search parameter. |
| SP_payee | String | The SP_payee search parameter. |
| SP_subdetail_udi | String | The SP_subdetail_udi search parameter. |
| SP_item_udi | String | The SP_item_udi search parameter. |
| SP_filter | String | The SP_filter search parameter. |
| SP_provider | String | The SP_provider search parameter. |