ExplanationOfBenefit

ExplanationOfBenefit

draftFHIR R3 package : Core3.0.2resource16 key elements

Base StructureDefinition for ExplanationOfBenefit Resource

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit
ID
ExplanationOfBenefit
Type
ExplanationOfBenefit
Base Definition
DomainResource
Derivation
specialization
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
information.sequence1..1
positiveInt
1+
Information instance identifier
information.category1..1
CodeableConcept
1+
General class of information
careTeam.sequence1..1
positiveInt
1+
Number to covey order of careteam
careTeam.provider1..1
ReferenceReference
1+
Member of the Care Team
diagnosis.sequence1..1
positiveInt
1+
Number to covey order of diagnosis
diagnosis.diagnosis[x]1..1
CodeableConceptReference
1+
Patient's diagnosis
procedure.sequence1..1
positiveInt
1+
Procedure sequence for reference
procedure.procedure[x]1..1
CodeableConceptReference
1+
Patient's list of procedures performed
item.sequence1..1
positiveInt
1+
Service instance
item.adjudication.category1..1
CodeableConcept
1+
Adjudication category such as co-pay, eligible, benefit, etc.
item.detail.sequence1..1
positiveInt
1+
Service instance
item.detail.type1..1
CodeableConcept
1+
Group or type of product or service
item.detail.subDetail.sequence1..1
positiveInt
1+
Service instance
item.detail.subDetail.type1..1
CodeableConcept
1+
Type of product or service
benefitBalance.category1..1
CodeableConcept
1+
Type of services covered
benefitBalance.financial.type1..1
CodeableConcept
1+
Deductable, visits, benefit amount