LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
| Active as of 2022-11-10 |
TTL representation of the cdm-explanation-of-benefit resource profile.
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:StructureDefinition;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "cdm-explanation-of-benefit"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit\">ExplanationOfBenefit</a><a name=\"ExplanationOfBenefit\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/explanationofbenefit.html\">ExplanationOfBenefit</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Explanation of Benefit resource</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.meta\">meta</a><a name=\"ExplanationOfBenefit.meta\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-process-meta.html\" title=\"Meta\">ProcessMeta</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Metadata about a resource</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"text-decoration:line-through\">contained</span><a name=\"ExplanationOfBenefit.contained\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.extension\">Slices for extension</a><a name=\"ExplanationOfBenefit.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Extension</span><br/><span style=\"font-weight:bold\">Slice: </span>Unordered, Open by value:url</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.extension:claimReceivedDate\" title=\"Extension URL = http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-received-date\">claimReceivedDate</a><a name=\"ExplanationOfBenefit.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date the claim was received<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-claim-received-date.html\">http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-received-date</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.extension:employer\" title=\"Extension URL = http://linuxforhealth.org/fhir/cdm/StructureDefinition/employer\">employer</a><a name=\"ExplanationOfBenefit.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Customer-specific code for the employer as reported on the claim record<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-employer.html\">http://linuxforhealth.org/fhir/cdm/StructureDefinition/employer</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.identifier\">identifier</a><a name=\"ExplanationOfBenefit.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Business Identifier for the resource</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.identifier.type\">type</a><a name=\"ExplanationOfBenefit.identifier.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Description of identifier</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-identifier-type.html\">Identifier Type Value Set</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.identifier.system\">system</a><a name=\"ExplanationOfBenefit.identifier.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">The namespace for the identifier value</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.identifier.value\">value</a><a name=\"ExplanationOfBenefit.identifier.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">The value that is unique</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.type\">type</a><a name=\"ExplanationOfBenefit.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Category or discipline</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-claim-type.html\">Claim Type Value Set</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.subType\">subType</a><a name=\"ExplanationOfBenefit.subType\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">More granular claim type</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-claim-subtype.html\">Claim Subtype Value Set</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.priority\">priority</a><a name=\"ExplanationOfBenefit.priority\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Desired processing urgency</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://terminology.hl7.org/4.0.0/ValueSet-process-priority.html\">Process Priority Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#example\" title=\"Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.\">example</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.careTeam\">careTeam</a><a name=\"ExplanationOfBenefit.careTeam\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.careTeam.role\">role</a><a name=\"ExplanationOfBenefit.careTeam.role\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Function within the team</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-claim-care-team-role.html\">Claim Care Team Role Value Set</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.supportingInfo\">supportingInfo</a><a name=\"ExplanationOfBenefit.supportingInfo\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.supportingInfo.category\">category</a><a name=\"ExplanationOfBenefit.supportingInfo.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of the supplied information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-claim-supporting-info-category.html\">Claim Supporting Info Category Value Set</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.supportingInfo.code\">code</a><a name=\"ExplanationOfBenefit.supportingInfo.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-claim-supporting-info-type.html\">Claim Supporting Info Type Value Set</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item\">item</a><a name=\"ExplanationOfBenefit.item\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck112.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.extension\">Slices for extension</a><a name=\"ExplanationOfBenefit.item.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Extension</span><br/><span style=\"font-weight:bold\">Slice: </span>Unordered, Open by value:url</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.extension:claimResponseItemStatus\" title=\"Extension URL = http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-response-item-status\">claimResponseItemStatus</a><a name=\"ExplanationOfBenefit.item.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The status of claim payment on claim item<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-claim-response-item-status.html\">http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-response-item-status</a><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-payer-claim-status.html\">Payer Claim Status Codes Value Set</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.extension:serviceBillDaysCount\" title=\"Extension URL = http://linuxforhealth.org/fhir/cdm/StructureDefinition/service-bill-days-count\">serviceBillDaysCount</a><a name=\"ExplanationOfBenefit.item.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#unsignedInt\">unsignedInt</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Number of days between the date of service and the date the claim was received<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-service-bill-days-count.html\">http://linuxforhealth.org/fhir/cdm/StructureDefinition/service-bill-days-count</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.quantity\">quantity</a><a name=\"ExplanationOfBenefit.item.quantity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1104.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.quantity.extension:localNumberOfUnitsPerService\" title=\"Extension URL = http://linuxforhealth.org/fhir/cdm/StructureDefinition/local-number-of-units-per-service\">localNumberOfUnitsPerService</a><a name=\"ExplanationOfBenefit.item.quantity.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Customer-specific quantity of either services or units<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-local-number-of-units-per-service.html\">http://linuxforhealth.org/fhir/cdm/StructureDefinition/local-number-of-units-per-service</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.adjudication\">adjudication</a><a name=\"ExplanationOfBenefit.item.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.adjudication.category\">category</a><a name=\"ExplanationOfBenefit.item.adjudication.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-adjudication-category.html\">Adjudication Category Value Set</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#example\" title=\"Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.\">example</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.adjudication\">adjudication</a><a name=\"ExplanationOfBenefit.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Header-level adjudication</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck012.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.adjudication.extension\">Slices for extension</a><a name=\"ExplanationOfBenefit.adjudication.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Extension</span><br/><span style=\"font-weight:bold\">Slice: </span>Unordered, Open by value:url</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck004.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cdm-explanation-of-benefit-definitions.html#ExplanationOfBenefit.adjudication.extension:adjudicationDate\" title=\"Extension URL = http://linuxforhealth.org/fhir/cdm/StructureDefinition/adjudication-date\">adjudicationDate</a><a name=\"ExplanationOfBenefit.adjudication.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date on which the payment status of the claim was adjudicated<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-adjudication-date.html\">http://linuxforhealth.org/fhir/cdm/StructureDefinition/adjudication-date</a></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-category" ];
fhir:Extension.valueString [ fhir:value "Financial.General" ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category" ];
fhir:Extension.valueCode [ fhir:value "patient" ]
];
fhir:StructureDefinition.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-explanation-of-benefit"];
fhir:StructureDefinition.version [ fhir:value "8.0.0"];
fhir:StructureDefinition.name [ fhir:value "CDMExplanationOfBenefit"];
fhir:StructureDefinition.title [ fhir:value "CDM Explanation of Benefit"];
fhir:StructureDefinition.status [ fhir:value "active"];
fhir:StructureDefinition.date [ fhir:value "2022-11-10T16:00:46+00:00"^^xsd:dateTime];
fhir:StructureDefinition.publisher [ fhir:value "LinuxForHealth Team"];
fhir:StructureDefinition.description [ fhir:value "This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. The CDMExplanationOfBenefit profile extends the base FHIR ExplanationOfBenefit resource with additional details."];
fhir:StructureDefinition.jurisdiction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
fhir:Coding.code [ fhir:value "US" ] ]
];
fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"];
fhir:StructureDefinition.mapping [
fhir:index 0;
fhir:StructureDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/workflow" ];
fhir:StructureDefinition.mapping.name [ fhir:value "Workflow Pattern" ]
], [
fhir:index 1;
fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ];
fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/fivews" ];
fhir:StructureDefinition.mapping.name [ fhir:value "FiveWs Pattern Mapping" ]
], [
fhir:index 2;
fhir:StructureDefinition.mapping.identity [ fhir:value "v2" ];
fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v2" ];
fhir:StructureDefinition.mapping.name [ fhir:value "HL7 v2 Mapping" ]
], [
fhir:index 3;
fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ];
fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ];
fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ]
];
fhir:StructureDefinition.kind [ fhir:value "resource"];
fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean];
fhir:StructureDefinition.type [ fhir:value "ExplanationOfBenefit"];
fhir:StructureDefinition.baseDefinition [
fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit";
fhir:link <http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit>
];
fhir:StructureDefinition.derivation [ fhir:value "constraint"];
fhir:StructureDefinition.snapshot [
fhir:StructureDefinition.snapshot.element [
fhir:index 0;
fhir:Element.id [ fhir:value "ExplanationOfBenefit" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit" ];
fhir:ElementDefinition.short [ fhir:value "Explanation of Benefit resource" ];
fhir:ElementDefinition.definition [ fhir:value "This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided." ];
fhir:ElementDefinition.alias [
fhir:value "EOB";
fhir:index 0 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 2;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 3;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-5" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.security.empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ];
fhir:Extension.valueMarkdown [ fhir:value "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ] ];
fhir:ElementDefinition.constraint.key [ fhir:value "dom-6" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ];
fhir:ElementDefinition.constraint.human [ fhir:value "A resource should have narrative for robust management" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "text.`div`.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text/h:div)" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event" ] ] ], [
fhir:index 1;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.id" ];
fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ];
fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ];
fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "id" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta" ];
fhir:ElementDefinition.short [ fhir:value "Metadata about a resource" ];
fhir:ElementDefinition.definition [ fhir:value "The metadata about a resource. This is content in the resource that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Meta" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-meta";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-meta> ] ];
fhir:ElementDefinition.condition [
fhir:value "ele-1";
fhir:index 0 ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 3;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.implicitRules" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.implicitRules" ];
fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "uri" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 4;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.language" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.language" ];
fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ];
fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ];
fhir:ElementDefinition.comment [ fhir:value "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
fhir:Extension.valueCanonical [
fhir:value "http://hl7.org/fhir/ValueSet/all-languages";
fhir:link <http://hl7.org/fhir/ValueSet/all-languages> ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Language" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
fhir:ElementDefinition.binding.description [ fhir:value "A human language." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/languages";
fhir:link <http://hl7.org/fhir/ValueSet/languages> ] ] ], [
fhir:index 5;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.text" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.text" ];
fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ];
fhir:ElementDefinition.alias [
fhir:value "narrative";
fhir:index 0 ], [
fhir:value "html";
fhir:index 1 ], [
fhir:value "xhtml";
fhir:index 2 ], [
fhir:value "display";
fhir:index 3 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Narrative" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ] ] ], [
fhir:index 6;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.contained" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.contained" ];
fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ];
fhir:ElementDefinition.alias [
fhir:value "inline resources";
fhir:index 0 ], [
fhir:value "anonymous resources";
fhir:index 1 ], [
fhir:value "contained resources";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "0" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Resource" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 7;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.extension" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.short [ fhir:value "Extension" ];
fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.extension:claimReceivedDate" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "claimReceivedDate" ];
fhir:ElementDefinition.short [ fhir:value "Date the claim was received" ];
fhir:ElementDefinition.definition [ fhir:value "Date the claim was received" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-received-date";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-received-date> ] ];
fhir:ElementDefinition.condition [
fhir:value "ele-1";
fhir:index 0 ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.extension:employer" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "employer" ];
fhir:ElementDefinition.short [ fhir:value "Customer-specific code for the employer as reported on the claim record" ];
fhir:ElementDefinition.definition [ fhir:value "Customer-specific code for the employer as reported on the claim record" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/employer";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/employer> ] ];
fhir:ElementDefinition.condition [
fhir:value "ele-1";
fhir:index 0 ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 10;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
fhir:ElementDefinition.definition [ fhir:value "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 11;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier" ];
fhir:ElementDefinition.short [ fhir:value "Business Identifier for the resource" ];
fhir:ElementDefinition.definition [ fhir:value "A unique identifier assigned to this explanation of benefit." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows EOBs to be distinguished and referenced." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.identifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.identifier" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ] ] ], [
fhir:index 12;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 13;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.extension" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 14;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.use" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.use" ];
fhir:ElementDefinition.short [ fhir:value "usual | official | temp | secondary | old (If known)" ];
fhir:ElementDefinition.definition [ fhir:value "The purpose of this identifier." ];
fhir:ElementDefinition.comment [ fhir:value "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.use" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one." ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "IdentifierUse" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.description [ fhir:value "Identifies the purpose for this identifier, if known ." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1";
fhir:link <http://hl7.org/fhir/ValueSet/identifier-use|4.0.1> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Role.code or implied by context" ] ] ], [
fhir:index 15;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.type" ];
fhir:ElementDefinition.short [ fhir:value "Description of identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." ];
fhir:ElementDefinition.comment [ fhir:value "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows users to make use of identifiers when the identifier system is not known." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/identifier-type";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/identifier-type> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "CX.5" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Role.code or implied by context" ] ] ], [
fhir:index 16;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.system" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.system" ];
fhir:ElementDefinition.short [ fhir:value "The namespace for the identifier value" ];
fhir:ElementDefinition.definition [ fhir:value "Establishes the namespace for the value - that is, a URL that describes a set values that are unique." ];
fhir:ElementDefinition.comment [ fhir:value "Identifier.system is always case sensitive." ];
fhir:ElementDefinition.requirements [ fhir:value "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.system" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "uri" ] ];
fhir:ElementDefinition.example [
fhir:index 0;
fhir:ElementDefinition.example.label [ fhir:value "General" ];
fhir:ElementDefinition.example.valueUri [ fhir:value "http://www.acme.com/identifiers/patient" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "CX.4 / EI-2-4" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "II.root or Role.id.root" ] ], [
fhir:index 2;
fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ];
fhir:ElementDefinition.mapping.map [ fhir:value "./IdentifierType" ] ] ], [
fhir:index 17;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.value" ];
fhir:ElementDefinition.short [ fhir:value "The value that is unique" ];
fhir:ElementDefinition.definition [ fhir:value "The portion of the identifier typically relevant to the user and which is unique within the context of the system." ];
fhir:ElementDefinition.comment [ fhir:value "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.example [
fhir:index 0;
fhir:ElementDefinition.example.label [ fhir:value "General" ];
fhir:ElementDefinition.example.valueString [ fhir:value "123456" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "CX.1 / EI.1" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" ] ], [
fhir:index 2;
fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ];
fhir:ElementDefinition.mapping.map [ fhir:value "./Value" ] ] ], [
fhir:index 18;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.period" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.period" ];
fhir:ElementDefinition.short [ fhir:value "Time period when id is/was valid for use" ];
fhir:ElementDefinition.definition [ fhir:value "Time period during which identifier is/was valid for use." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.period" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "CX.7 + CX.8" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Role.effectiveTime or implied by context" ] ], [
fhir:index 2;
fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ];
fhir:ElementDefinition.mapping.map [ fhir:value "./StartDate and ./EndDate" ] ] ], [
fhir:index 19;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.assigner" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.assigner" ];
fhir:ElementDefinition.short [ fhir:value "Organization that issued id (may be just text)" ];
fhir:ElementDefinition.definition [ fhir:value "Organization that issued/manages the identifier." ];
fhir:ElementDefinition.comment [ fhir:value "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.assigner" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "CX.4 / (CX.4,CX.9,CX.10)" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" ] ], [
fhir:index 2;
fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ];
fhir:ElementDefinition.mapping.map [ fhir:value "./IdentifierIssuingAuthority" ] ] ], [
fhir:index 20;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.status" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.status" ];
fhir:ElementDefinition.short [ fhir:value "active | cancelled | draft | entered-in-error" ];
fhir:ElementDefinition.definition [ fhir:value "The status of the resource instance." ];
fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.status" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ExplanationOfBenefitStatus" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.description [ fhir:value "A code specifying the state of the resource instance." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1";
fhir:link <http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.status" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.status" ] ] ], [
fhir:index 21;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.type" ];
fhir:ElementDefinition.short [ fhir:value "Category or discipline" ];
fhir:ElementDefinition.definition [ fhir:value "The category of claim, e.g. oral, pharmacy, vision, institutional, professional." ];
fhir:ElementDefinition.comment [ fhir:value "The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements." ];
fhir:ElementDefinition.requirements [ fhir:value "Claim type determine the general sets of business rules applied for information requirements and adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.type" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/claim-type";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/claim-type> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.code" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ] ] ], [
fhir:index 22;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.subType" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.subType" ];
fhir:ElementDefinition.short [ fhir:value "More granular claim type" ];
fhir:ElementDefinition.definition [ fhir:value "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Some jurisdictions need a finer grained claim type for routing and adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.subType" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/claim-subtype";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/claim-subtype> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ] ] ], [
fhir:index 23;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.use" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.use" ];
fhir:ElementDefinition.short [ fhir:value "claim | preauthorization | predetermination" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "This element is required to understand the nature of the request for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.use" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Use" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.description [ fhir:value "Complete, proposed, exploratory, other." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-use|4.0.1";
fhir:link <http://hl7.org/fhir/ValueSet/claim-use|4.0.1> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ] ] ], [
fhir:index 24;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.patient" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.patient" ];
fhir:ElementDefinition.short [ fhir:value "The recipient of the products and services" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.patient" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.subject" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject[x]" ] ], [
fhir:index 2;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject" ] ] ], [
fhir:index 25;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.billablePeriod" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod" ];
fhir:ElementDefinition.short [ fhir:value "Relevant time frame for the claim" ];
fhir:ElementDefinition.definition [ fhir:value "The period for which charges are being submitted." ];
fhir:ElementDefinition.comment [ fhir:value "Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified." ];
fhir:ElementDefinition.requirements [ fhir:value "A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.billablePeriod" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ] ] ], [
fhir:index 26;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.created" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.created" ];
fhir:ElementDefinition.short [ fhir:value "Response creation date" ];
fhir:ElementDefinition.definition [ fhir:value "The date this resource was created." ];
fhir:ElementDefinition.comment [ fhir:value "This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to record a timestamp for use by both the recipient and the issuer." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.created" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.occurrence[x]" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.recorded" ] ] ], [
fhir:index 27;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.enterer" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.enterer" ];
fhir:ElementDefinition.short [ fhir:value "Author of the claim" ];
fhir:ElementDefinition.definition [ fhir:value "Individual who created the claim, predetermination or preauthorization." ];
fhir:ElementDefinition.requirements [ fhir:value "Some jurisdictions require the contact information for personnel completing claims." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.enterer" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
fhir:index 1;
fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.agent" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ] ] ], [
fhir:index 28;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurer" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurer" ];
fhir:ElementDefinition.short [ fhir:value "Party responsible for reimbursement" ];
fhir:ElementDefinition.definition [ fhir:value "The party responsible for authorization, adjudication and reimbursement." ];
fhir:ElementDefinition.requirements [ fhir:value "To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.insurer" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.agent" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ] ] ], [
fhir:index 29;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.provider" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.provider" ];
fhir:ElementDefinition.short [ fhir:value "Party responsible for the claim" ];
fhir:ElementDefinition.definition [ fhir:value "The provider which is responsible for the claim, predetermination or preauthorization." ];
fhir:ElementDefinition.comment [ fhir:value "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.provider" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
fhir:index 1;
fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
fhir:index 2;
fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.source" ] ] ], [
fhir:index 30;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.priority" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.priority" ];
fhir:ElementDefinition.short [ fhir:value "Desired processing urgency" ];
fhir:ElementDefinition.definition [ fhir:value "The provider-required urgency of processing the request. Typical values include: stat, routine deferred." ];
fhir:ElementDefinition.comment [ fhir:value "If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request." ];
fhir:ElementDefinition.requirements [ fhir:value "The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.priority" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://terminology.hl7.org/ValueSet/process-priority";
fhir:link <http://terminology.hl7.org/ValueSet/process-priority> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Request.priority" ] ] ], [
fhir:index 31;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.fundsReserveRequested" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.fundsReserveRequested" ];
fhir:ElementDefinition.short [ fhir:value "For whom to reserve funds" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate whether and for whom funds are to be reserved for future claims." ];
fhir:ElementDefinition.comment [ fhir:value "This field is only used for preauthorizations." ];
fhir:ElementDefinition.requirements [ fhir:value "In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested." ];
fhir:ElementDefinition.alias [
fhir:value "Fund pre-allocation";
fhir:index 0 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.fundsReserveRequested" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "FundsReserve" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "For whom funds are to be reserved: (Patient, Provider, None)." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/fundsreserve";
fhir:link <http://hl7.org/fhir/ValueSet/fundsreserve> ] ] ], [
fhir:index 32;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.fundsReserve" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.fundsReserve" ];
fhir:ElementDefinition.short [ fhir:value "Funds reserved status" ];
fhir:ElementDefinition.definition [ fhir:value "A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom." ];
fhir:ElementDefinition.comment [ fhir:value "Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.fundsReserve" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "FundsReserve" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "For whom funds are to be reserved: (Patient, Provider, None)." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/fundsreserve";
fhir:link <http://hl7.org/fhir/ValueSet/fundsreserve> ] ] ], [
fhir:index 33;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "RelatedClaim" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related" ];
fhir:ElementDefinition.short [ fhir:value "Prior or corollary claims" ];
fhir:ElementDefinition.definition [ fhir:value "Other claims which are related to this claim such as prior submissions or claims for related services or for the same event." ];
fhir:ElementDefinition.comment [ fhir:value "For example, for the original treatment and follow-up exams." ];
fhir:ElementDefinition.requirements [ fhir:value "For workplace or other accidents it is common to relate separate claims arising from the same event." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.related" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 34;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 35;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 36;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 37;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.claim" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.claim" ];
fhir:ElementDefinition.short [ fhir:value "Reference to the related claim" ];
fhir:ElementDefinition.definition [ fhir:value "Reference to a related claim." ];
fhir:ElementDefinition.requirements [ fhir:value "For workplace or other accidents it is common to relate separate claims arising from the same event." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.related.claim" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Claim";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Claim> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 38;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.relationship" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.relationship" ];
fhir:ElementDefinition.short [ fhir:value "How the reference claim is related" ];
fhir:ElementDefinition.definition [ fhir:value "A code to convey how the claims are related." ];
fhir:ElementDefinition.comment [ fhir:value "For example, prior claim or umbrella." ];
fhir:ElementDefinition.requirements [ fhir:value "Some insurers need a declaration of the type of relationship." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.related.relationship" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "RelatedClaimRelationship" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Relationship of this claim to a related Claim." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/related-claim-relationship";
fhir:link <http://hl7.org/fhir/ValueSet/related-claim-relationship> ] ] ], [
fhir:index 39;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.reference" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.reference" ];
fhir:ElementDefinition.short [ fhir:value "File or case reference" ];
fhir:ElementDefinition.definition [ fhir:value "An alternate organizational reference to the case or file to which this particular claim pertains." ];
fhir:ElementDefinition.comment [ fhir:value "For example, Property/Casualty insurer claim number or Workers Compensation case number." ];
fhir:ElementDefinition.requirements [ fhir:value "In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.related.reference" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 40;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.prescription" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.prescription" ];
fhir:ElementDefinition.short [ fhir:value "Prescription authorizing services or products" ];
fhir:ElementDefinition.definition [ fhir:value "Prescription to support the dispensing of pharmacy, device or vision products." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to authorize the dispensing of controlled substances and devices." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.prescription" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationRequest> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/VisionPrescription";
fhir:index 1;
fhir:link <http://hl7.org/fhir/StructureDefinition/VisionPrescription> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 41;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.originalPrescription" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.originalPrescription" ];
fhir:ElementDefinition.short [ fhir:value "Original prescription if superceded by fulfiller" ];
fhir:ElementDefinition.definition [ fhir:value "Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products." ];
fhir:ElementDefinition.comment [ fhir:value "For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'." ];
fhir:ElementDefinition.requirements [ fhir:value "Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.originalPrescription" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationRequest> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 42;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Payee" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee" ];
fhir:ElementDefinition.short [ fhir:value "Recipient of benefits payable" ];
fhir:ElementDefinition.definition [ fhir:value "The party to be reimbursed for cost of the products and services according to the terms of the policy." ];
fhir:ElementDefinition.comment [ fhir:value "Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead." ];
fhir:ElementDefinition.requirements [ fhir:value "The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payee" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 43;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 44;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 45;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 46;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.type" ];
fhir:ElementDefinition.short [ fhir:value "Category of recipient" ];
fhir:ElementDefinition.definition [ fhir:value "Type of Party to be reimbursed: Subscriber, provider, other." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payee.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "PayeeType" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "A code for the party to be reimbursed." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/payeetype";
fhir:link <http://hl7.org/fhir/ValueSet/payeetype> ] ] ], [
fhir:index 47;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.party" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.party" ];
fhir:ElementDefinition.short [ fhir:value "Recipient reference" ];
fhir:ElementDefinition.definition [ fhir:value "Reference to the individual or organization to whom any payment will be made." ];
fhir:ElementDefinition.comment [ fhir:value "Not required if the payee is 'subscriber' or 'provider'." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to provide demographics if the payee is not 'subscriber' nor 'provider'." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payee.party" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
fhir:index 1;
fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
fhir:index 2;
fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
fhir:index 3;
fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
fhir:index 4;
fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 48;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.referral" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.referral" ];
fhir:ElementDefinition.short [ fhir:value "Treatment Referral" ];
fhir:ElementDefinition.definition [ fhir:value "A reference to a referral resource." ];
fhir:ElementDefinition.comment [ fhir:value "The referral resource which lists the date, practitioner, reason and other supporting information." ];
fhir:ElementDefinition.requirements [ fhir:value "Some insurers require proof of referral to pay for services or to pay specialist rates for services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.referral" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.cause" ] ] ], [
fhir:index 49;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.facility" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.facility" ];
fhir:ElementDefinition.short [ fhir:value "Servicing Facility" ];
fhir:ElementDefinition.definition [ fhir:value "Facility where the services were provided." ];
fhir:ElementDefinition.requirements [ fhir:value "Insurance adjudication can be dependant on where services were delivered." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.facility" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Location";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Location> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.location" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.where[x]" ] ] ], [
fhir:index 50;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.claim" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.claim" ];
fhir:ElementDefinition.short [ fhir:value "Claim reference" ];
fhir:ElementDefinition.definition [ fhir:value "The business identifier for the instance of the adjudication request: claim predetermination or preauthorization." ];
fhir:ElementDefinition.requirements [ fhir:value "To provide a link to the original adjudication request." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.claim" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Claim";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Claim> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.why[x]" ] ] ], [
fhir:index 51;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.claimResponse" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.claimResponse" ];
fhir:ElementDefinition.short [ fhir:value "Claim response reference" ];
fhir:ElementDefinition.definition [ fhir:value "The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response." ];
fhir:ElementDefinition.requirements [ fhir:value "To provide a link to the original adjudication response." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.claimResponse" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/ClaimResponse";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/ClaimResponse> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 52;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.outcome" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.outcome" ];
fhir:ElementDefinition.short [ fhir:value "queued | complete | error | partial" ];
fhir:ElementDefinition.definition [ fhir:value "The outcome of the claim, predetermination, or preauthorization processing." ];
fhir:ElementDefinition.comment [ fhir:value "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete)." ];
fhir:ElementDefinition.requirements [ fhir:value "To advise the requestor of an overall processing outcome." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.outcome" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "RemittanceOutcome" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.description [ fhir:value "The result of the claim processing." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1";
fhir:link <http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1> ] ] ], [
fhir:index 53;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.disposition" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.disposition" ];
fhir:ElementDefinition.short [ fhir:value "Disposition Message" ];
fhir:ElementDefinition.definition [ fhir:value "A human readable description of the status of the adjudication." ];
fhir:ElementDefinition.requirements [ fhir:value "Provided for user display." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.disposition" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 54;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.preAuthRef" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.preAuthRef" ];
fhir:ElementDefinition.short [ fhir:value "Preauthorization reference" ];
fhir:ElementDefinition.definition [ fhir:value "Reference from the Insurer which is used in later communications which refers to this adjudication." ];
fhir:ElementDefinition.comment [ fhir:value "This value is only present on preauthorization adjudications." ];
fhir:ElementDefinition.requirements [ fhir:value "On subsequent claims, the insurer may require the provider to quote this value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.preAuthRef" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 55;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.preAuthRefPeriod" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.preAuthRefPeriod" ];
fhir:ElementDefinition.short [ fhir:value "Preauthorization in-effect period" ];
fhir:ElementDefinition.definition [ fhir:value "The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided." ];
fhir:ElementDefinition.comment [ fhir:value "This value is only present on preauthorization adjudications." ];
fhir:ElementDefinition.requirements [ fhir:value "On subsequent claims, the insurer may require the provider to quote this value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.preAuthRefPeriod" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 56;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "CareTeam" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam" ];
fhir:ElementDefinition.short [ fhir:value "Care Team members" ];
fhir:ElementDefinition.definition [ fhir:value "The members of the team who provided the products and services." ];
fhir:ElementDefinition.requirements [ fhir:value "Common to identify the responsible and supporting practitioners." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 57;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 58;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 59;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 60;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Order of care team" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify care team entries." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 61;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.provider" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.provider" ];
fhir:ElementDefinition.short [ fhir:value "Practitioner or organization" ];
fhir:ElementDefinition.definition [ fhir:value "Member of the team who provided the product or service." ];
fhir:ElementDefinition.requirements [ fhir:value "Often a regulatory requirement to specify the responsible provider." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam.provider" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
fhir:index 1;
fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
fhir:index 2;
fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.actor" ] ] ], [
fhir:index 62;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.responsible" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.responsible" ];
fhir:ElementDefinition.short [ fhir:value "Indicator of the lead practitioner" ];
fhir:ElementDefinition.definition [ fhir:value "The party who is billing and/or responsible for the claimed products or services." ];
fhir:ElementDefinition.comment [ fhir:value "Responsible might not be required when there is only a single provider listed." ];
fhir:ElementDefinition.requirements [ fhir:value "When multiple parties are present it is required to distinguish the lead or responsible individual." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam.responsible" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 63;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.role" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.role" ];
fhir:ElementDefinition.short [ fhir:value "Function within the team" ];
fhir:ElementDefinition.definition [ fhir:value "The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team." ];
fhir:ElementDefinition.comment [ fhir:value "Role might not be required when there is only a single provider listed." ];
fhir:ElementDefinition.requirements [ fhir:value "When multiple parties are present it is required to distinguish the roles performed by each member." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam.role" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/claim-care-team-role";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/claim-care-team-role> ] ] ], [
fhir:index 64;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.qualification" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.qualification" ];
fhir:ElementDefinition.short [ fhir:value "Practitioner credential or specialization" ];
fhir:ElementDefinition.definition [ fhir:value "The qualification of the practitioner which is applicable for this service." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to specify which qualification a provider is delivering the product or service under." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam.qualification" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ProviderQualification" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Provider professional qualifications." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/provider-qualification";
fhir:link <http://hl7.org/fhir/ValueSet/provider-qualification> ] ] ], [
fhir:index 65;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SupportingInformation" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.short [ fhir:value "Supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ];
fhir:ElementDefinition.comment [ fhir:value "Often there are multiple jurisdiction specific valuesets which are required." ];
fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 66;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 67;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 68;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 69;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify supporting information entries." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 70;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.short [ fhir:value "Classification of the supplied information" ];
fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain a category for the local bill type codes." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/claim-supporting-info-category";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/claim-supporting-info-category> ] ] ], [
fhir:index 71;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.short [ fhir:value "Type of information" ];
fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to identify the kind of additional information." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/claim-supporting-info-type";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/claim-supporting-info-type> ] ] ], [
fhir:index 72;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.short [ fhir:value "When it occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 73;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.short [ fhir:value "Data to be provided" ];
fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ];
fhir:ElementDefinition.comment [ fhir:value "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the data content to be provided when the information is more than a simple code or period." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [
fhir:index 3;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [
fhir:index 4;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Resource> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 74;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the information" ];
fhir:ElementDefinition.definition [ fhir:value "Provides the reason in the situation where a reason code is required in addition to the content." ];
fhir:ElementDefinition.comment [ fhir:value "For example: the reason for the additional stay, or why a tooth is missing." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed when the supporting information has both a date and amount/value and requires explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "MissingReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Reason codes for the missing teeth." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason";
fhir:link <http://hl7.org/fhir/ValueSet/missing-tooth-reason> ] ] ], [
fhir:index 75;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Diagnosis" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis" ];
fhir:ElementDefinition.short [ fhir:value "Pertinent diagnosis information" ];
fhir:ElementDefinition.definition [ fhir:value "Information about diagnoses relevant to the claim items." ];
fhir:ElementDefinition.requirements [ fhir:value "Required for the adjudication by provided context for the services and product listed." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 76;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 77;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 78;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 79;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Diagnosis instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify diagnosis entries." ];
fhir:ElementDefinition.comment [ fhir:value "Diagnosis are presented in list order to their expected importance: primary, secondary, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 80;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ];
fhir:ElementDefinition.short [ fhir:value "Nature of illness or problem" ];
fhir:ElementDefinition.definition [ fhir:value "The nature of illness or problem in a coded form or as a reference to an external defined Condition." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides health context for the evaluation of the products and/or services." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ICD10" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "ICD10 Diagnostic codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/icd-10";
fhir:link <http://hl7.org/fhir/ValueSet/icd-10> ] ] ], [
fhir:index 81;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.type" ];
fhir:ElementDefinition.short [ fhir:value "Timing or nature of the diagnosis" ];
fhir:ElementDefinition.definition [ fhir:value "When the condition was observed or the relative ranking." ];
fhir:ElementDefinition.comment [ fhir:value "For example: admitting, primary, secondary, discharge." ];
fhir:ElementDefinition.requirements [ fhir:value "Often required to capture a particular diagnosis, for example: primary or discharge." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "DiagnosisType" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The type of the diagnosis: admitting, principal, discharge." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosistype";
fhir:link <http://hl7.org/fhir/ValueSet/ex-diagnosistype> ] ] ], [
fhir:index 82;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ];
fhir:ElementDefinition.short [ fhir:value "Present on admission" ];
fhir:ElementDefinition.definition [ fhir:value "Indication of whether the diagnosis was present on admission to a facility." ];
fhir:ElementDefinition.requirements [ fhir:value "Many systems need to understand for adjudication if the diagnosis was present a time of admission." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "DiagnosisOnAdmission" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Present on admission." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission";
fhir:link <http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission> ] ] ], [
fhir:index 83;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.packageCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.packageCode" ];
fhir:ElementDefinition.short [ fhir:value "Package billing code" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "For example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to relate the current diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis.packageCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "DiagnosisRelatedGroup" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The DRG codes associated with the diagnosis." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup";
fhir:link <http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup> ] ] ], [
fhir:index 84;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Procedure" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure" ];
fhir:ElementDefinition.short [ fhir:value "Clinical procedures performed" ];
fhir:ElementDefinition.definition [ fhir:value "Procedures performed on the patient relevant to the billing items with the claim." ];
fhir:ElementDefinition.requirements [ fhir:value "The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 85;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 86;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 87;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 88;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Procedure instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify procedure entries." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 89;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.type" ];
fhir:ElementDefinition.short [ fhir:value "Category of Procedure" ];
fhir:ElementDefinition.definition [ fhir:value "When the condition was observed or the relative ranking." ];
fhir:ElementDefinition.requirements [ fhir:value "Often required to capture a particular diagnosis, for example: primary or discharge." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ProcedureType" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Example procedure type codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-procedure-type";
fhir:link <http://hl7.org/fhir/ValueSet/ex-procedure-type> ] ] ], [
fhir:index 90;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.date" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.date" ];
fhir:ElementDefinition.short [ fhir:value "When the procedure was performed" ];
fhir:ElementDefinition.definition [ fhir:value "Date and optionally time the procedure was performed." ];
fhir:ElementDefinition.requirements [ fhir:value "Required for auditing purposes." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure.date" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 91;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ];
fhir:ElementDefinition.short [ fhir:value "Specific clinical procedure" ];
fhir:ElementDefinition.definition [ fhir:value "The code or reference to a Procedure resource which identifies the clinical intervention performed." ];
fhir:ElementDefinition.requirements [ fhir:value "This identifies the actual clinical procedure." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Procedure> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ICD10_Procedures" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "ICD10 Procedure codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/icd-10-procedures";
fhir:link <http://hl7.org/fhir/ValueSet/icd-10-procedures> ] ] ], [
fhir:index 92;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.udi" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.udi" ];
fhir:ElementDefinition.short [ fhir:value "Unique device identifier" ];
fhir:ElementDefinition.definition [ fhir:value "Unique Device Identifiers associated with this line item." ];
fhir:ElementDefinition.requirements [ fhir:value "The UDI code allows the insurer to obtain device level information on the product supplied." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure.udi" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Device> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 93;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.precedence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.precedence" ];
fhir:ElementDefinition.short [ fhir:value "Precedence (primary, secondary, etc.)" ];
fhir:ElementDefinition.definition [ fhir:value "This indicates the relative order of a series of EOBs related to different coverages for the same suite of services." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to coordinate between multiple EOBs for the same suite of services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.precedence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 94;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Insurance" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance" ];
fhir:ElementDefinition.short [ fhir:value "Patient insurance information" ];
fhir:ElementDefinition.definition [ fhir:value "Financial instruments for reimbursement for the health care products and services specified on the claim." ];
fhir:ElementDefinition.comment [ fhir:value "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim." ];
fhir:ElementDefinition.requirements [ fhir:value "At least one insurer is required for a claim to be a claim." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.insurance" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Coverage" ] ] ], [
fhir:index 95;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 96;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 97;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 98;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.focal" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.focal" ];
fhir:ElementDefinition.short [ fhir:value "Coverage to be used for adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true." ];
fhir:ElementDefinition.comment [ fhir:value "A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies." ];
fhir:ElementDefinition.requirements [ fhir:value "To identify which coverage in the list is being used to adjudicate this claim." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.insurance.focal" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 99;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.coverage" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.coverage" ];
fhir:ElementDefinition.short [ fhir:value "Insurance information" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to allow the adjudicator to locate the correct policy and history within their information system." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.insurance.coverage" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Coverage> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 100;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.preAuthRef" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.preAuthRef" ];
fhir:ElementDefinition.short [ fhir:value "Prior authorization reference number" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier." ];
fhir:ElementDefinition.requirements [ fhir:value "Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.insurance.preAuthRef" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 101;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Accident" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident" ];
fhir:ElementDefinition.short [ fhir:value "Details of the event" ];
fhir:ElementDefinition.definition [ fhir:value "Details of a accident which resulted in injuries which required the products and services listed in the claim." ];
fhir:ElementDefinition.requirements [ fhir:value "When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.accident" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 102;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 103;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 104;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 105;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.date" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.date" ];
fhir:ElementDefinition.short [ fhir:value "When the incident occurred" ];
fhir:ElementDefinition.definition [ fhir:value "Date of an accident event related to the products and services contained in the claim." ];
fhir:ElementDefinition.comment [ fhir:value "The date of the accident has to precede the dates of the products and services but within a reasonable timeframe." ];
fhir:ElementDefinition.requirements [ fhir:value "Required for audit purposes and adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.accident.date" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 106;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.type" ];
fhir:ElementDefinition.short [ fhir:value "The nature of the accident" ];
fhir:ElementDefinition.definition [ fhir:value "The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers." ];
fhir:ElementDefinition.requirements [ fhir:value "Coverage may be dependant on the type of accident." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.accident.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "AccidentType" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.description [ fhir:value "Type of accident: work place, auto, etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode";
fhir:link <http://terminology.hl7.org/ValueSet/v3-ActIncidentCode> ] ] ], [
fhir:index 107;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.location[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.location[x]" ];
fhir:ElementDefinition.short [ fhir:value "Where the event occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The physical location of the accident event." ];
fhir:ElementDefinition.requirements [ fhir:value "Required for audit purposes and determination of applicable insurance liability." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.accident.location[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Address" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Location";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Location> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 108;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Item" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item" ];
fhir:ElementDefinition.short [ fhir:value "Product or service provided" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "The items to be processed for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 109;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 110;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.extension" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.short [ fhir:value "Extension" ];
fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 111;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.extension:claimResponseItemStatus" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "claimResponseItemStatus" ];
fhir:ElementDefinition.short [ fhir:value "The status of claim payment on claim item" ];
fhir:ElementDefinition.definition [ fhir:value "The status of claim payment on claim item" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-response-item-status";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-response-item-status> ] ];
fhir:ElementDefinition.condition [
fhir:value "ele-1";
fhir:index 0 ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 112;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.extension:serviceBillDaysCount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "serviceBillDaysCount" ];
fhir:ElementDefinition.short [ fhir:value "Number of days between the date of service and the date the claim was received" ];
fhir:ElementDefinition.definition [ fhir:value "Number of days between the date of service and the date the claim was received" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/service-bill-days-count";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/service-bill-days-count> ] ];
fhir:ElementDefinition.condition [
fhir:value "ele-1";
fhir:index 0 ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 113;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 114;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Item instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify item entries." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 115;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.careTeamSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.careTeamSequence" ];
fhir:ElementDefinition.short [ fhir:value "Applicable care team members" ];
fhir:ElementDefinition.definition [ fhir:value "Care team members related to this service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to identify the individuals and their roles in the provision of the product or service." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.careTeamSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 116;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.diagnosisSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.diagnosisSequence" ];
fhir:ElementDefinition.short [ fhir:value "Applicable diagnoses" ];
fhir:ElementDefinition.definition [ fhir:value "Diagnoses applicable for this service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to related the product or service to the associated diagnoses." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.diagnosisSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 117;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.procedureSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.procedureSequence" ];
fhir:ElementDefinition.short [ fhir:value "Applicable procedures" ];
fhir:ElementDefinition.definition [ fhir:value "Procedures applicable for this service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to provide any listed specific procedures to support the product or service being claimed." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.procedureSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 118;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.informationSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.informationSequence" ];
fhir:ElementDefinition.short [ fhir:value "Applicable exception and supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Exceptions, special conditions and supporting information applicable for this service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to reference the supporting information items that relate directly to this product or service." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.informationSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 119;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.revenue" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.revenue" ];
fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ];
fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.revenue" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "RevenueCenter" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center";
fhir:link <http://hl7.org/fhir/ValueSet/ex-revenue-center> ] ] ], [
fhir:index 120;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.category" ];
fhir:ElementDefinition.short [ fhir:value "Benefit classification" ];
fhir:ElementDefinition.definition [ fhir:value "Code to identify the general type of benefits under which products and services are provided." ];
fhir:ElementDefinition.comment [ fhir:value "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.category" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitCategory" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory";
fhir:link <http://hl7.org/fhir/ValueSet/ex-benefitcategory> ] ] ], [
fhir:index 121;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-uscls";
fhir:link <http://hl7.org/fhir/ValueSet/service-uscls> ] ] ], [
fhir:index 122;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Product or service billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Modifiers" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers";
fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers> ] ] ], [
fhir:index 123;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.programCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.programCode" ];
fhir:ElementDefinition.short [ fhir:value "Program the product or service is provided under" ];
fhir:ElementDefinition.definition [ fhir:value "Identifies the program under which this may be recovered." ];
fhir:ElementDefinition.comment [ fhir:value "For example: Neonatal program, child dental program or drug users recovery program." ];
fhir:ElementDefinition.requirements [ fhir:value "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.programCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ProgramCode" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Program specific reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code";
fhir:link <http://hl7.org/fhir/ValueSet/ex-program-code> ] ] ], [
fhir:index 124;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.serviced[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.serviced[x]" ];
fhir:ElementDefinition.short [ fhir:value "Date or dates of service or product delivery" ];
fhir:ElementDefinition.definition [ fhir:value "The date or dates when the service or product was supplied, performed or completed." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to determine whether the service or product was provided during the term of the insurance coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.serviced[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ] ] ], [
fhir:index 125;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.location[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.location[x]" ];
fhir:ElementDefinition.short [ fhir:value "Place of service or where product was supplied" ];
fhir:ElementDefinition.definition [ fhir:value "Where the product or service was provided." ];
fhir:ElementDefinition.requirements [ fhir:value "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.location[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Address" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Location";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Location> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServicePlace" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Place where the service is rendered." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-place";
fhir:link <http://hl7.org/fhir/ValueSet/service-place> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.where[x]" ] ] ], [
fhir:index 126;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 127;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 128;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity.extension" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 129;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity.extension:localNumberOfUnitsPerService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "localNumberOfUnitsPerService" ];
fhir:ElementDefinition.short [ fhir:value "Customer-specific quantity of either services or units" ];
fhir:ElementDefinition.definition [ fhir:value "Customer-specific quantity of either services or units" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/local-number-of-units-per-service";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/local-number-of-units-per-service> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 130;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity.value" ];
fhir:ElementDefinition.short [ fhir:value "Numerical value (with implicit precision)" ];
fhir:ElementDefinition.definition [ fhir:value "The value of the measured amount. The value includes an implicit precision in the presentation of the value." ];
fhir:ElementDefinition.comment [ fhir:value "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)." ];
fhir:ElementDefinition.requirements [ fhir:value "Precision is handled implicitly in almost all cases of measurement." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Quantity.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "SN.2 / CQ - N/A" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" ] ] ], [
fhir:index 131;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity.comparator" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity.comparator" ];
fhir:ElementDefinition.short [ fhir:value "< | <= | >= | > - how to understand the value" ];
fhir:ElementDefinition.definition [ fhir:value "Not allowed to be used in this context" ];
fhir:ElementDefinition.requirements [ fhir:value "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "0" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Quantity.comparator" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.meaningWhenMissing [ fhir:value "If there is no comparator, then there is no modification of the value" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "QuantityComparator" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.description [ fhir:value "How the Quantity should be understood and represented." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1";
fhir:link <http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "SN.1 / CQ.1" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "IVL properties" ] ] ], [
fhir:index 132;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity.unit" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity.unit" ];
fhir:ElementDefinition.short [ fhir:value "Unit representation" ];
fhir:ElementDefinition.definition [ fhir:value "A human-readable form of the unit." ];
fhir:ElementDefinition.requirements [ fhir:value "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Quantity.unit" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "(see OBX.6 etc.) / CQ.2" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "PQ.unit" ] ] ], [
fhir:index 133;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity.system" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity.system" ];
fhir:ElementDefinition.short [ fhir:value "System that defines coded unit form" ];
fhir:ElementDefinition.definition [ fhir:value "The identification of the system that provides the coded form of the unit." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to know the system that defines the coded form of the unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Quantity.system" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "uri" ] ];
fhir:ElementDefinition.condition [
fhir:value "qty-3";
fhir:index 0 ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "(see OBX.6 etc.) / CQ.2" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "CO.codeSystem, PQ.translation.codeSystem" ] ] ], [
fhir:index 134;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity.code" ];
fhir:ElementDefinition.short [ fhir:value "Coded form of the unit" ];
fhir:ElementDefinition.definition [ fhir:value "A computer processable form of the unit in some unit representation system." ];
fhir:ElementDefinition.comment [ fhir:value "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system." ];
fhir:ElementDefinition.requirements [ fhir:value "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Quantity.code" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "(see OBX.6 etc.) / CQ.2" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "PQ.code, MO.currency, PQ.translation.code" ] ] ], [
fhir:index 135;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 136;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 137;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 138;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.udi" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.udi" ];
fhir:ElementDefinition.short [ fhir:value "Unique device identifier" ];
fhir:ElementDefinition.definition [ fhir:value "Unique Device Identifiers associated with this line item." ];
fhir:ElementDefinition.requirements [ fhir:value "The UDI code allows the insurer to obtain device level information on the product supplied." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.udi" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Device> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 139;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.bodySite" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.bodySite" ];
fhir:ElementDefinition.short [ fhir:value "Anatomical location" ];
fhir:ElementDefinition.definition [ fhir:value "Physical service site on the patient (limb, tooth, etc.)." ];
fhir:ElementDefinition.comment [ fhir:value "For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows insurer to validate specific procedures." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.bodySite" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "OralSites" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The code for the teeth, quadrant, sextant and arch." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/tooth";
fhir:link <http://hl7.org/fhir/ValueSet/tooth> ] ] ], [
fhir:index 140;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.subSite" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.subSite" ];
fhir:ElementDefinition.short [ fhir:value "Anatomical sub-location" ];
fhir:ElementDefinition.definition [ fhir:value "A region or surface of the bodySite, e.g. limb region or tooth surface(s)." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows insurer to validate specific procedures." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.subSite" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Surface" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The code for the tooth surface and surface combinations." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/surface";
fhir:link <http://hl7.org/fhir/ValueSet/surface> ] ] ], [
fhir:index 141;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.encounter" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.encounter" ];
fhir:ElementDefinition.short [ fhir:value "Encounters related to this billed item" ];
fhir:ElementDefinition.definition [ fhir:value "A billed item may include goods or services provided in multiple encounters." ];
fhir:ElementDefinition.requirements [ fhir:value "Used in some jurisdictions to link clinical events to claim items." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.encounter" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 142;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 143;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Adjudication" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Adjudication details" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 144;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 145;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 146;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 147;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to enable understanding of the context of the other information in the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/adjudication-category";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/adjudication-category> ] ] ], [
fhir:index 148;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation of adjudication outcome" ];
fhir:ElementDefinition.definition [ fhir:value "A code supporting the understanding of the adjudication result and explaining variance from expected amount." ];
fhir:ElementDefinition.comment [ fhir:value "For example, may indicate that the funds for this benefit type have been exhausted." ];
fhir:ElementDefinition.requirements [ fhir:value "To support understanding of variance from adjudication expectations." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "AdjudicationReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Adjudication reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication-reason";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication-reason> ] ] ], [
fhir:index 149;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary amount associated with the category." ];
fhir:ElementDefinition.comment [ fhir:value "For example, amount submitted, eligible amount, co-payment, and benefit payable." ];
fhir:ElementDefinition.requirements [ fhir:value "Most adjuciation categories convey a monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 150;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.short [ fhir:value "Non-monitary value" ];
fhir:ElementDefinition.definition [ fhir:value "A non-monetary value associated with the category. Mutually exclusive to the amount element above." ];
fhir:ElementDefinition.comment [ fhir:value "For example: eligible percentage or co-payment percentage." ];
fhir:ElementDefinition.requirements [ fhir:value "Some adjudication categories convey a percentage or a fixed value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 151;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Detail" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail" ];
fhir:ElementDefinition.short [ fhir:value "Additional items" ];
fhir:ElementDefinition.definition [ fhir:value "Second-tier of goods and services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 152;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 153;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 154;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 155;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Product or service provided" ];
fhir:ElementDefinition.definition [ fhir:value "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items." ];
fhir:ElementDefinition.requirements [ fhir:value "The items to be processed for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 156;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.revenue" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.revenue" ];
fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ];
fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.revenue" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "RevenueCenter" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center";
fhir:link <http://hl7.org/fhir/ValueSet/ex-revenue-center> ] ] ], [
fhir:index 157;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.category" ];
fhir:ElementDefinition.short [ fhir:value "Benefit classification" ];
fhir:ElementDefinition.definition [ fhir:value "Code to identify the general type of benefits under which products and services are provided." ];
fhir:ElementDefinition.comment [ fhir:value "Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.category" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitCategory" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory";
fhir:link <http://hl7.org/fhir/ValueSet/ex-benefitcategory> ] ] ], [
fhir:index 158;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-uscls";
fhir:link <http://hl7.org/fhir/ValueSet/service-uscls> ] ] ], [
fhir:index 159;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Modifiers" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers";
fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers> ] ] ], [
fhir:index 160;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.programCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.programCode" ];
fhir:ElementDefinition.short [ fhir:value "Program the product or service is provided under" ];
fhir:ElementDefinition.definition [ fhir:value "Identifies the program under which this may be recovered." ];
fhir:ElementDefinition.comment [ fhir:value "For example: Neonatal program, child dental program or drug users recovery program." ];
fhir:ElementDefinition.requirements [ fhir:value "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.programCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ProgramCode" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Program specific reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code";
fhir:link <http://hl7.org/fhir/ValueSet/ex-program-code> ] ] ], [
fhir:index 161;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 162;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 163;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 164;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 165;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.udi" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.udi" ];
fhir:ElementDefinition.short [ fhir:value "Unique device identifier" ];
fhir:ElementDefinition.definition [ fhir:value "Unique Device Identifiers associated with this line item." ];
fhir:ElementDefinition.requirements [ fhir:value "The UDI code allows the insurer to obtain device level information on the product supplied." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.udi" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Device> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 166;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 167;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Detail level adjudication details" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 168;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SubDetail" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail" ];
fhir:ElementDefinition.short [ fhir:value "Additional items" ];
fhir:ElementDefinition.definition [ fhir:value "Third-tier of goods and services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 169;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 170;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 171;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 172;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Product or service provided" ];
fhir:ElementDefinition.definition [ fhir:value "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items." ];
fhir:ElementDefinition.requirements [ fhir:value "The items to be processed for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 173;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.revenue" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.revenue" ];
fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ];
fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.revenue" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "RevenueCenter" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center";
fhir:link <http://hl7.org/fhir/ValueSet/ex-revenue-center> ] ] ], [
fhir:index 174;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.category" ];
fhir:ElementDefinition.short [ fhir:value "Benefit classification" ];
fhir:ElementDefinition.definition [ fhir:value "Code to identify the general type of benefits under which products and services are provided." ];
fhir:ElementDefinition.comment [ fhir:value "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.category" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitCategory" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory";
fhir:link <http://hl7.org/fhir/ValueSet/ex-benefitcategory> ] ] ], [
fhir:index 175;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-uscls";
fhir:link <http://hl7.org/fhir/ValueSet/service-uscls> ] ] ], [
fhir:index 176;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours." ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Modifiers" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers";
fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers> ] ] ], [
fhir:index 177;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.programCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.programCode" ];
fhir:ElementDefinition.short [ fhir:value "Program the product or service is provided under" ];
fhir:ElementDefinition.definition [ fhir:value "Identifies the program under which this may be recovered." ];
fhir:ElementDefinition.comment [ fhir:value "For example: Neonatal program, child dental program or drug users recovery program." ];
fhir:ElementDefinition.requirements [ fhir:value "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.programCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ProgramCode" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Program specific reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code";
fhir:link <http://hl7.org/fhir/ValueSet/ex-program-code> ] ] ], [
fhir:index 178;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 179;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 180;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 181;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 182;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.udi" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.udi" ];
fhir:ElementDefinition.short [ fhir:value "Unique device identifier" ];
fhir:ElementDefinition.definition [ fhir:value "Unique Device Identifiers associated with this line item." ];
fhir:ElementDefinition.requirements [ fhir:value "The UDI code allows the insurer to obtain device level information on the product supplied." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.udi" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Device> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 183;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 184;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Subdetail level adjudication details" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 185;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "740;600" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "AddedItem" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem" ];
fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
fhir:ElementDefinition.definition [ fhir:value "The first-tier service adjudications for payor added product or service lines." ];
fhir:ElementDefinition.requirements [ fhir:value "Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 186;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 187;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 188;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 189;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.itemSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.itemSequence" ];
fhir:ElementDefinition.short [ fhir:value "Item sequence number" ];
fhir:ElementDefinition.definition [ fhir:value "Claim items which this service line is intended to replace." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides references to the claim items." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.itemSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 190;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detailSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detailSequence" ];
fhir:ElementDefinition.short [ fhir:value "Detail sequence number" ];
fhir:ElementDefinition.definition [ fhir:value "The sequence number of the details within the claim item which this line is intended to replace." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides references to the claim details within the claim item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detailSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 191;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.subDetailSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.subDetailSequence" ];
fhir:ElementDefinition.short [ fhir:value "Subdetail sequence number" ];
fhir:ElementDefinition.definition [ fhir:value "The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides references to the claim sub-details within the claim detail." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.subDetailSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 192;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.provider" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.provider" ];
fhir:ElementDefinition.short [ fhir:value "Authorized providers" ];
fhir:ElementDefinition.definition [ fhir:value "The providers who are authorized for the services rendered to the patient." ];
fhir:ElementDefinition.requirements [ fhir:value "Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.provider" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
fhir:index 1;
fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
fhir:index 2;
fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.source" ] ] ], [
fhir:index 193;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-uscls";
fhir:link <http://hl7.org/fhir/ValueSet/service-uscls> ] ] ], [
fhir:index 194;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Modifiers" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers";
fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers> ] ] ], [
fhir:index 195;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.programCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.programCode" ];
fhir:ElementDefinition.short [ fhir:value "Program the product or service is provided under" ];
fhir:ElementDefinition.definition [ fhir:value "Identifies the program under which this may be recovered." ];
fhir:ElementDefinition.comment [ fhir:value "For example: Neonatal program, child dental program or drug users recovery program." ];
fhir:ElementDefinition.requirements [ fhir:value "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.programCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ProgramCode" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Program specific reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code";
fhir:link <http://hl7.org/fhir/ValueSet/ex-program-code> ] ] ], [
fhir:index 196;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.serviced[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.serviced[x]" ];
fhir:ElementDefinition.short [ fhir:value "Date or dates of service or product delivery" ];
fhir:ElementDefinition.definition [ fhir:value "The date or dates when the service or product was supplied, performed or completed." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to determine whether the service or product was provided during the term of the insurance coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.serviced[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ] ] ], [
fhir:index 197;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.location[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.location[x]" ];
fhir:ElementDefinition.short [ fhir:value "Place of service or where product was supplied" ];
fhir:ElementDefinition.definition [ fhir:value "Where the product or service was provided." ];
fhir:ElementDefinition.requirements [ fhir:value "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.location[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Address" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Location";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Location> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServicePlace" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Place where the service is rendered." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-place";
fhir:link <http://hl7.org/fhir/ValueSet/service-place> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.where[x]" ] ] ], [
fhir:index 198;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 199;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 200;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 201;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 202;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.bodySite" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.bodySite" ];
fhir:ElementDefinition.short [ fhir:value "Anatomical location" ];
fhir:ElementDefinition.definition [ fhir:value "Physical service site on the patient (limb, tooth, etc.)." ];
fhir:ElementDefinition.comment [ fhir:value "For example, providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows insurer to validate specific procedures." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.bodySite" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "OralSites" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The code for the teeth, quadrant, sextant and arch." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/tooth";
fhir:link <http://hl7.org/fhir/ValueSet/tooth> ] ] ], [
fhir:index 203;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.subSite" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.subSite" ];
fhir:ElementDefinition.short [ fhir:value "Anatomical sub-location" ];
fhir:ElementDefinition.definition [ fhir:value "A region or surface of the bodySite, e.g. limb region or tooth surface(s)." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows insurer to validate specific procedures." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.subSite" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Surface" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The code for the tooth surface and surface combinations." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/surface";
fhir:link <http://hl7.org/fhir/ValueSet/surface> ] ] ], [
fhir:index 204;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 205;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 206;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "740;600" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "AddedItemDetail" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail" ];
fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
fhir:ElementDefinition.definition [ fhir:value "The second-tier service adjudications for payor added services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 207;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 208;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 209;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 210;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-uscls";
fhir:link <http://hl7.org/fhir/ValueSet/service-uscls> ] ] ], [
fhir:index 211;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Modifiers" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers";
fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers> ] ] ], [
fhir:index 212;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 213;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 214;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 215;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 216;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 217;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 218;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "740;600" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "AddedItemDetailSubDetail" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail" ];
fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
fhir:ElementDefinition.definition [ fhir:value "The third-tier service adjudications for payor added services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 219;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 220;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 221;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 222;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-uscls";
fhir:link <http://hl7.org/fhir/ValueSet/service-uscls> ] ] ], [
fhir:index 223;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Modifiers" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers";
fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers> ] ] ], [
fhir:index 224;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 225;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 226;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 227;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 228;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 229;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 230;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Header-level adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results which are presented at the header level rather than at the line-item or add-item levels." ];
fhir:ElementDefinition.requirements [ fhir:value "Some insurers will receive line-items but provide the adjudication only at a summary or header-level." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 231;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 232;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.extension" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.short [ fhir:value "Extension" ];
fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 233;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.extension:adjudicationDate" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "adjudicationDate" ];
fhir:ElementDefinition.short [ fhir:value "Date on which the payment status of the claim was adjudicated" ];
fhir:ElementDefinition.definition [ fhir:value "Date on which the payment status of the claim was adjudicated" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/adjudication-date";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/adjudication-date> ] ];
fhir:ElementDefinition.condition [
fhir:value "ele-1";
fhir:index 0 ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 234;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 235;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to enable understanding of the context of the other information in the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Adjudication" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The adjudication codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication> ] ] ], [
fhir:index 236;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation of adjudication outcome" ];
fhir:ElementDefinition.definition [ fhir:value "A code supporting the understanding of the adjudication result and explaining variance from expected amount." ];
fhir:ElementDefinition.comment [ fhir:value "For example, may indicate that the funds for this benefit type have been exhausted." ];
fhir:ElementDefinition.requirements [ fhir:value "To support understanding of variance from adjudication expectations." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "AdjudicationReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Adjudication reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication-reason";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication-reason> ] ] ], [
fhir:index 237;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.amount" ];
fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary amount associated with the category." ];
fhir:ElementDefinition.comment [ fhir:value "For example, amount submitted, eligible amount, co-payment, and benefit payable." ];
fhir:ElementDefinition.requirements [ fhir:value "Most adjuciation categories convey a monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 238;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.value" ];
fhir:ElementDefinition.short [ fhir:value "Non-monitary value" ];
fhir:ElementDefinition.definition [ fhir:value "A non-monetary value associated with the category. Mutually exclusive to the amount element above." ];
fhir:ElementDefinition.comment [ fhir:value "For example: eligible percentage or co-payment percentage." ];
fhir:ElementDefinition.requirements [ fhir:value "Some adjudication categories convey a percentage or a fixed value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 239;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "'360;620" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Total" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.short [ fhir:value "Adjudication totals" ];
fhir:ElementDefinition.definition [ fhir:value "Categorized monetary totals for the adjudication." ];
fhir:ElementDefinition.comment [ fhir:value "Totals for amounts submitted, co-pays, benefits payable etc." ];
fhir:ElementDefinition.requirements [ fhir:value "To provide the requestor with financial totals by category for the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 240;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 241;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 242;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 243;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the type of total provided." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Adjudication" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The adjudication codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication> ] ] ], [
fhir:index 244;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.short [ fhir:value "Financial total for the category" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary total amount associated with the category." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the total monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 245;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "360;650" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Payment" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment" ];
fhir:ElementDefinition.short [ fhir:value "Payment Details" ];
fhir:ElementDefinition.definition [ fhir:value "Payment details for the adjudication of the claim." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey references to the financial instrument that has been used if payment has been made." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 246;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 247;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 248;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 249;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.type" ];
fhir:ElementDefinition.short [ fhir:value "Partial or complete payment" ];
fhir:ElementDefinition.definition [ fhir:value "Whether this represents partial or complete payment of the benefits payable." ];
fhir:ElementDefinition.requirements [ fhir:value "To advise the requestor when the insurer believes all payments to have been completed." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "PaymentType" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The type (partial, complete) of the payment." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-paymenttype";
fhir:link <http://hl7.org/fhir/ValueSet/ex-paymenttype> ] ] ], [
fhir:index 250;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.adjustment" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.adjustment" ];
fhir:ElementDefinition.short [ fhir:value "Payment adjustment for non-claim issues" ];
fhir:ElementDefinition.definition [ fhir:value "Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication." ];
fhir:ElementDefinition.comment [ fhir:value "Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider." ];
fhir:ElementDefinition.requirements [ fhir:value "To advise the requestor of adjustments applied to the payment." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.adjustment" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 251;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.adjustmentReason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.adjustmentReason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the variance" ];
fhir:ElementDefinition.definition [ fhir:value "Reason for the payment adjustment." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to clarify the monetary adjustment." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.adjustmentReason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "PaymentAdjustmentReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Payment Adjustment reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/payment-adjustment-reason";
fhir:link <http://hl7.org/fhir/ValueSet/payment-adjustment-reason> ] ] ], [
fhir:index 252;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.date" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.date" ];
fhir:ElementDefinition.short [ fhir:value "Expected date of payment" ];
fhir:ElementDefinition.definition [ fhir:value "Estimated date the payment will be issued or the actual issue date of payment." ];
fhir:ElementDefinition.requirements [ fhir:value "To advise the payee when payment can be expected." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.date" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 253;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.amount" ];
fhir:ElementDefinition.short [ fhir:value "Payable amount after adjustment" ];
fhir:ElementDefinition.definition [ fhir:value "Benefits payable less any payment adjustment." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to provide the actual payment amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 254;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.identifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.identifier" ];
fhir:ElementDefinition.short [ fhir:value "Business identifier for the payment" ];
fhir:ElementDefinition.definition [ fhir:value "Issuer's unique identifier for the payment instrument." ];
fhir:ElementDefinition.comment [ fhir:value "For example: EFT number or check number." ];
fhir:ElementDefinition.requirements [ fhir:value "Enable the receiver to reconcile when payment received." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.identifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 255;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.formCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.formCode" ];
fhir:ElementDefinition.short [ fhir:value "Printed form identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A code for the form to be used for printing the content." ];
fhir:ElementDefinition.comment [ fhir:value "May be needed to identify specific jurisdictional forms." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to specify the specific form used for producing output for this response." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.formCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Forms" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The forms codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/forms";
fhir:link <http://hl7.org/fhir/ValueSet/forms> ] ] ], [
fhir:index 256;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.form" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.form" ];
fhir:ElementDefinition.short [ fhir:value "Printed reference or actual form" ];
fhir:ElementDefinition.definition [ fhir:value "The actual form, by reference or inclusion, for printing the content or an EOB." ];
fhir:ElementDefinition.comment [ fhir:value "Needed to permit insurers to include the actual form." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to include the specific form used for producing output for this response." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.form" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 257;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Note" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote" ];
fhir:ElementDefinition.short [ fhir:value "Note concerning adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "A note that describes or explains adjudication results in a human readable form." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the insurer specific textual explanations associated with the processing." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.processNote" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 258;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 259;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 260;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 261;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.number" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.number" ];
fhir:ElementDefinition.short [ fhir:value "Note instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify a note entry." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to provide a mechanism to link from adjudications." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.processNote.number" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 262;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.type" ];
fhir:ElementDefinition.short [ fhir:value "display | print | printoper" ];
fhir:ElementDefinition.definition [ fhir:value "The business purpose of the note text." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the expectation for when the text is used." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.processNote.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "NoteType" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.description [ fhir:value "The presentation types of notes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/note-type|4.0.1";
fhir:link <http://hl7.org/fhir/ValueSet/note-type|4.0.1> ] ] ], [
fhir:index 263;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.text" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.text" ];
fhir:ElementDefinition.short [ fhir:value "Note explanatory text" ];
fhir:ElementDefinition.definition [ fhir:value "The explanation or description associated with the processing." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to provide human readable explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.processNote.text" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 264;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.language" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.language" ];
fhir:ElementDefinition.short [ fhir:value "Language of the text" ];
fhir:ElementDefinition.definition [ fhir:value "A code to define the language used in the text of the note." ];
fhir:ElementDefinition.comment [ fhir:value "Only required if the language is different from the resource language." ];
fhir:ElementDefinition.requirements [ fhir:value "Note text may vary from the resource defined language." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.processNote.language" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
fhir:Extension.valueCanonical [
fhir:value "http://hl7.org/fhir/ValueSet/all-languages";
fhir:link <http://hl7.org/fhir/ValueSet/all-languages> ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Language" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
fhir:ElementDefinition.binding.description [ fhir:value "A human language." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/languages";
fhir:link <http://hl7.org/fhir/ValueSet/languages> ] ] ], [
fhir:index 265;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitPeriod" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitPeriod" ];
fhir:ElementDefinition.short [ fhir:value "When the benefits are applicable" ];
fhir:ElementDefinition.definition [ fhir:value "The term of the benefits documented in this response." ];
fhir:ElementDefinition.comment [ fhir:value "Not applicable when use=claim." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed as coverages may be multi-year while benefits tend to be annual therefore a separate expression of the benefit period is needed." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitPeriod" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 266;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "BenefitBalance" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance" ];
fhir:ElementDefinition.short [ fhir:value "Balance by Benefit Category" ];
fhir:ElementDefinition.definition [ fhir:value "Balance by Benefit Category." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 267;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 268;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 269;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 270;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.category" ];
fhir:ElementDefinition.short [ fhir:value "Benefit classification" ];
fhir:ElementDefinition.definition [ fhir:value "Code to identify the general type of benefits under which products and services are provided." ];
fhir:ElementDefinition.comment [ fhir:value "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the category of service or product for which eligibility is sought." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitCategory" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory";
fhir:link <http://hl7.org/fhir/ValueSet/ex-benefitcategory> ] ] ], [
fhir:index 271;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.excluded" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.excluded" ];
fhir:ElementDefinition.short [ fhir:value "Excluded from the plan" ];
fhir:ElementDefinition.definition [ fhir:value "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." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to identify items that are specifically excluded from the coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.excluded" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 272;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.name" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.name" ];
fhir:ElementDefinition.short [ fhir:value "Short name for the benefit" ];
fhir:ElementDefinition.definition [ fhir:value "A short name or tag for the benefit." ];
fhir:ElementDefinition.comment [ fhir:value "For example: MED01, or DENT2." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to align with other plan names." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.name" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 273;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.description" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.description" ];
fhir:ElementDefinition.short [ fhir:value "Description of the benefit or services covered" ];
fhir:ElementDefinition.definition [ fhir:value "A richer description of the benefit or services covered." ];
fhir:ElementDefinition.comment [ fhir:value "For example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed for human readable reference." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.description" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 274;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.network" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.network" ];
fhir:ElementDefinition.short [ fhir:value "In or out of network" ];
fhir:ElementDefinition.definition [ fhir:value "Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed as in or out of network providers are treated differently under the coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.network" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitNetwork" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Code to classify in or out of network services." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/benefit-network";
fhir:link <http://hl7.org/fhir/ValueSet/benefit-network> ] ] ], [
fhir:index 275;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.unit" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.unit" ];
fhir:ElementDefinition.short [ fhir:value "Individual or family" ];
fhir:ElementDefinition.definition [ fhir:value "Indicates if the benefits apply to an individual or to the family." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed for the understanding of the benefits." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.unit" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitUnit" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Unit covered/serviced - individual or family." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/benefit-unit";
fhir:link <http://hl7.org/fhir/ValueSet/benefit-unit> ] ] ], [
fhir:index 276;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.term" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.term" ];
fhir:ElementDefinition.short [ fhir:value "Annual or lifetime" ];
fhir:ElementDefinition.definition [ fhir:value "The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed for the understanding of the benefits." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.term" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitTerm" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Coverage unit - annual, lifetime." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/benefit-term";
fhir:link <http://hl7.org/fhir/ValueSet/benefit-term> ] ] ], [
fhir:index 277;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Benefit" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial" ];
fhir:ElementDefinition.short [ fhir:value "Benefit Summary" ];
fhir:ElementDefinition.definition [ fhir:value "Benefits Used to date." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 278;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 279;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 280;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 281;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.type" ];
fhir:ElementDefinition.short [ fhir:value "Benefit classification" ];
fhir:ElementDefinition.definition [ fhir:value "Classification of benefit being provided." ];
fhir:ElementDefinition.comment [ fhir:value "For example: deductible, visits, benefit amount." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the nature of the benefit." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.type" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitType" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Deductable, visits, co-pay, etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/benefit-type";
fhir:link <http://hl7.org/fhir/ValueSet/benefit-type> ] ] ], [
fhir:index 282;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ];
fhir:ElementDefinition.short [ fhir:value "Benefits allowed" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity of the benefit which is permitted under the coverage." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the benefits offered under the coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "unsignedInt" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 283;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.used[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.used[x]" ];
fhir:ElementDefinition.short [ fhir:value "Benefits used" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity of the benefit which have been consumed to date." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the benefits consumed to date." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.used[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "unsignedInt" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ]
];
fhir:StructureDefinition.differential [
fhir:StructureDefinition.differential.element [
fhir:index 0;
fhir:Element.id [ fhir:value "ExplanationOfBenefit" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit" ] ], [
fhir:index 1;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Meta" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-meta";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-meta> ] ] ], [
fhir:index 2;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.contained" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.contained" ];
fhir:ElementDefinition.max [ fhir:value "0" ] ], [
fhir:index 3;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.extension" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ] ], [
fhir:index 4;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.extension:claimReceivedDate" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "claimReceivedDate" ];
fhir:ElementDefinition.short [ fhir:value "Date the claim was received" ];
fhir:ElementDefinition.definition [ fhir:value "Date the claim was received" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-received-date";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-received-date> ] ] ], [
fhir:index 5;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.extension:employer" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "employer" ];
fhir:ElementDefinition.short [ fhir:value "Customer-specific code for the employer as reported on the claim record" ];
fhir:ElementDefinition.definition [ fhir:value "Customer-specific code for the employer as reported on the claim record" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/employer";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/employer> ] ] ], [
fhir:index 6;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ], [
fhir:index 7;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.type" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/identifier-type";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/identifier-type> ] ] ], [
fhir:index 8;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.system" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.system" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ], [
fhir:index 9;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.value" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ], [
fhir:index 10;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.type" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/claim-type";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/claim-type> ] ] ], [
fhir:index 11;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.subType" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.subType" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/claim-subtype";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/claim-subtype> ] ] ], [
fhir:index 12;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.priority" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.priority" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://terminology.hl7.org/ValueSet/process-priority";
fhir:link <http://terminology.hl7.org/ValueSet/process-priority> ] ] ], [
fhir:index 13;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.role" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.role" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/claim-care-team-role";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/claim-care-team-role> ] ] ], [
fhir:index 14;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/claim-supporting-info-category";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/claim-supporting-info-category> ] ] ], [
fhir:index 15;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/claim-supporting-info-type";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/claim-supporting-info-type> ] ] ], [
fhir:index 16;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.extension" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ] ], [
fhir:index 17;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.extension:claimResponseItemStatus" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "claimResponseItemStatus" ];
fhir:ElementDefinition.short [ fhir:value "The status of claim payment on claim item" ];
fhir:ElementDefinition.definition [ fhir:value "The status of claim payment on claim item" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-response-item-status";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/claim-response-item-status> ] ] ], [
fhir:index 18;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.extension:serviceBillDaysCount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "serviceBillDaysCount" ];
fhir:ElementDefinition.short [ fhir:value "Number of days between the date of service and the date the claim was received" ];
fhir:ElementDefinition.definition [ fhir:value "Number of days between the date of service and the date the claim was received" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/service-bill-days-count";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/service-bill-days-count> ] ] ], [
fhir:index 19;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity.extension:localNumberOfUnitsPerService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "localNumberOfUnitsPerService" ];
fhir:ElementDefinition.short [ fhir:value "Customer-specific quantity of either services or units" ];
fhir:ElementDefinition.definition [ fhir:value "Customer-specific quantity of either services or units" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/local-number-of-units-per-service";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/local-number-of-units-per-service> ] ] ], [
fhir:index 20;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://linuxforhealth.org/fhir/cdm/ValueSet/adjudication-category";
fhir:link <http://linuxforhealth.org/fhir/cdm/ValueSet/adjudication-category> ] ] ], [
fhir:index 21;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ] ], [
fhir:index 22;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.extension" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ] ], [
fhir:index 23;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.extension:adjudicationDate" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.extension" ];
fhir:ElementDefinition.sliceName [ fhir:value "adjudicationDate" ];
fhir:ElementDefinition.short [ fhir:value "Date on which the payment status of the claim was adjudicated" ];
fhir:ElementDefinition.definition [ fhir:value "Date on which the payment status of the claim was adjudicated" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/adjudication-date";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/adjudication-date> ] ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
IG © 2021+ LinuxForHealth Team. Package linuxforhealth.fhir.ig#8.0.0 based on FHIR 4.0.1. Generated 2022-11-10
Links: Table of Contents |
QA Report