C4BBExplanationOfBenefit

C4BB Explanation Of Benefit

activeCARIN Blue Button2.2.0resourceAbstract36 key elements

Abstract parent profile that includes constraints that are common to the four specific ExplanationOfBenefit (EOB) profiles defined in this Implementation Guide. All EOB instances should be from one of the four concrete EOB profiles defined in this Implementation Guide: Inpatient, Outpatient, Pharmacy, and Professional/NonClinician

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit
ID
C4BB-ExplanationOfBenefit
Type
Base Definition
Derivation
constraint
Mandatory and Must-Support Elements

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

PathCard.TypeFlagsDescription
meta
S1+
meta.lastUpdated
S1+
meta.profile
1+
identifier
1+
:uniqueclaimid1..1
S1+
Unique Claim Identifier
identifier.type
1+
identifier.value
S1+
Unique Claim Identifier
status
S
type
S
use
S
patient
Reference
S
billablePeriod
S1+
billablePeriod.start
S1+
insurer
Reference
S
provider
Reference
S
related
S
related.relationship
S1+
related.reference
S1+
payee
S
payee.type
S1+
payee.party
Reference
S
outcome
S
careTeam
S
careTeam.provider
Reference
S
careTeam.role
S
supportingInfo
S
insurance
S
insurance.focal
S
insurance.coverage
Reference
S
item
S1+
item.sequence
S
item.noteNumber
S
item.adjudication.category
S
payment
S
payment.type
S
processNote
S