"Path","Slice Name","Alias(s)","Label","Min","Max","Must Support?","Is Modifier?","Is Summary?","Type(s)","Short","Definition","Comments","Requirements","Default Value","Meaning When Missing","Fixed Value","Pattern","Example","Minimum Value","Maximum Value","Maximum Length","Binding Strength","Binding Description","Binding Value Set","Code","Slicing Discriminator","Slicing Description","Slicing Ordered","Slicing Rules","Base Path","Base Min","Base Max","Condition(s)","Constraint(s)","Mapping: W5 Mapping","Mapping: Canadian Dental Association eclaims standard","Mapping: HL7 v2 Mapping","Mapping: RIM Mapping"
"ExplanationOfBenefit","","EOB
","",0,*,"","","","","Explanation of Benefit resource","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.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","","financial.other","Entity. Role, or Act"
"ExplanationOfBenefit.id","","","",1,1,"","","Y","id
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"","","n/a"
"ExplanationOfBenefit.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","DomainResource.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.extension","hha-clm-mdcr-non-pmt-rsn-cd-extension","extensions
user content","",1,1,"","","","Extension {https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-clm-mdcr-non-pmt-rsn-cd-extension}
","Claim Medicare Non Payment Reason Code","Optional Extension Element - found in all resources.","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.","","","","","","","","",,"required","","https://bluebutton.cms.gov/assets/ig/ValueSet-clm-mdcr-non-pmt-rsn-cd","",,,,"DomainResource.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.extension","hha-prpayamt-extension","extensions
user content","",1,1,"","","","Extension {https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-prpayamt-extension}
","NCH Primary Payer (if not Medicare) Claim Paid Amount","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.extension","hha-fi-num-extension","extensions
user content","",1,1,"","","","Extension {https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-fi-num-extension}
","FI or MAC Number","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension
","Extensions that cannot be ignored","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. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","DomainResource.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.identifier","","","",1,*,"","","","Identifier
","Business Identifier","The EOB Business Identifier.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.identifier",0,*,"","","id","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"
"ExplanationOfBenefit.identifier.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.identifier.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.identifier.use","","","",0,0,"","Y","Y","code
","usual | official | temp | secondary (If known)","The purpose of this identifier.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","https://bluebutton.cms.gov/assets/ig/ValueSet-identifier-use","",,,,"Identifier.use",0,1,"","","N/A","n/a","Role.code or implied by context"
"ExplanationOfBenefit.identifier.type","","","",0,0,"","","Y","CodeableConcept
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","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.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","https://bluebutton.cms.gov/assets/ig/ValueSet-identifier-type","",,,,"Identifier.type",0,1,"","","CE/CNE/CWE","CX.5","n/a","CD","Role.code or implied by context"
"ExplanationOfBenefit.identifier.type.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.identifier.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.identifier.type.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.identifier.type.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.identifier.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.identifier.type.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.identifier.type.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.identifier.type.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.identifier.type.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.identifier.type.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.identifier.type.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.identifier.system","","","",1,1,"","","Y","uri
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","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.","","","","","<valueUri xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri""/>","","",,,,,"",,,,"Identifier.system",0,1,"","","CX.4 / EI-2-4","n/a","II.root or Role.id.root"
"ExplanationOfBenefit.identifier.value","","","",1,1,"","","Y","string
","The value that is unique","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","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](extension-rendered-value.html).","","","","","","<valueString xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","","CX.1 / EI.1","n/a","II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
"ExplanationOfBenefit.identifier.period","","","",0,0,"","","Y","Period
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. ""the patient was an inpatient of the hospital for this time range"") or one value from the range applies (e.g. ""give to the patient between these two times""). If duration is required, specify the type as Interval|Duration.","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","","DR","CX.7 + CX.8","n/a","IVL<TS>[lowClosed=""true"" and highClosed=""true""] or URG<TS>[lowClosed=""true"" and highClosed=""true""]","Role.effectiveTime or implied by context"
"ExplanationOfBenefit.identifier.period.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.identifier.period.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.identifier.period.start","","","",0,1,"","","Y","dateTime
","Starting time with inclusive boundary","The start of the period. The boundary is inclusive.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"","","DR.1","n/a","./low"
"ExplanationOfBenefit.identifier.period.end","","","",0,1,"","","Y","dateTime
","End time with inclusive boundary, if not ongoing","The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"","","DR.2","n/a","./high"
"ExplanationOfBenefit.identifier.assigner","","","",0,0,"","","Y","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Organization}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","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.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","","CX.4 / (CX.4,CX.9,CX.10)","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)","II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"
"ExplanationOfBenefit.identifier.assigner.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.identifier.assigner.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.identifier.assigner.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.identifier.assigner.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.identifier.assigner.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.status","","","",1,1,"","Y","Y","code
","active | cancelled | draft | entered-in-error","The status of the resource instance.","This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","","","","","","","","",,"required","A code specifying the state of the resource instance.","https://bluebutton.cms.gov/assets/ig/ValueSet-explanationofbenefit-status","",,,,"ExplanationOfBenefit.status",0,1,"","","status","n/a"
"ExplanationOfBenefit.type","","","",1,1,"","","","CodeableConcept
","Type or discipline","The category of claim, eg, oral, pharmacy, vision, institutional, professional.","Affects which fields and value sets are used.","","","","","","","","",,"required","The type or discipline-style of the claim","https://bluebutton.cms.gov/assets/ig/ValueSet-claim-type","",,,,"ExplanationOfBenefit.type",0,1,"","","class","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.type.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.type.coding","","","",1,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.type.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.type.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.type.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.type.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.type.coding.display","","","",1,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.type.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.type.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.subType","","","",0,0,"","","","CodeableConcept
","Finer grained claim type information","A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the BillType.","This may contain the local bill type codes such as the US UB-04 bill type code.","","","","","","","","",,"example","A more granulat claim typecode","https://bluebutton.cms.gov/assets/ig/ValueSet-claim-subtype","",,,,"ExplanationOfBenefit.subType",0,*,"","","class","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.subType.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.subType.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.subType.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.subType.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.subType.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.subType.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.subType.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.subType.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.subType.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.subType.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.subType.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.patient","","","",1,1,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Patient}
","The subject of the Products and Services","Patient Resource.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.patient",0,1,"","","who.focus","C06,C07,C08, C05, C04","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.patient.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.patient.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.patient.reference","","","",1,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.patient.identifier","","","",0,0,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.patient.display","","","",0,0,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.billablePeriod","","","",1,1,"","","","Period
","Period for charge submission","The billable period for which charges are being submitted.","This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. ""the patient was an inpatient of the hospital for this time range"") or one value from the range applies (e.g. ""give to the patient between these two times""). If duration is required, specify the type as Interval|Duration.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.billablePeriod",0,1,"","","when.done","DR","n/a","IVL<TS>[lowClosed=""true"" and highClosed=""true""] or URG<TS>[lowClosed=""true"" and highClosed=""true""]"
"ExplanationOfBenefit.billablePeriod.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.billablePeriod.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.billablePeriod.start","","","",1,1,"","","Y","dateTime
","Starting time with inclusive boundary","The start of the period. The boundary is inclusive.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"","","DR.1","n/a","./low"
"ExplanationOfBenefit.billablePeriod.end","","","",1,1,"","","Y","dateTime
","End time with inclusive boundary, if not ongoing","The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"","","DR.2","n/a","./high"
"ExplanationOfBenefit.created","","","",0,0,"","","","dateTime
","Creation date","The date when the EOB was created.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.created",0,1,"","","when.recorded","n/a"
"ExplanationOfBenefit.enterer","","","",0,0,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Practitioner}
","Author","The person who created the explanation of benefit.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.enterer",0,1,"","","who.author","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.enterer.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.enterer.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.enterer.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.enterer.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.enterer.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.insurer","","","",0,0,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Organization}
","Insurer responsible for the EOB","The insurer which is responsible for the explanation of benefit.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.insurer",0,1,"","","who.author","B02","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.insurer.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.insurer.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.insurer.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.insurer.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.insurer.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.provider","","","",0,1,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Practitioner}
","Responsible provider for the claim","The provider which is responsible for the claim.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.provider",0,1,"","","who.source","B02","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.provider.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.provider.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.provider.reference","","","",0,0,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.provider.identifier","","","",1,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.provider.display","","","",0,0,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.organization","","","",0,1,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Organization}
","Responsible organization for the claim","The provider which is responsible for the claim.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.organization",0,1,"","","who.source","B02","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.organization.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.organization.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.organization.reference","","","",0,0,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.organization.identifier","","","",1,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.organization.display","","","",0,0,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.referral","","","",0,0,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-ReferralRequest}
","Treatment Referral","The referral resource which lists the date, practitioner, reason and other supporting information.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.referral",0,1,"","","who.cause","B05","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.referral.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.referral.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.referral.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.referral.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.referral.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.facility","","","",0,1,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Location}
","Servicing Facility","Facility where the services were provided.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.facility",0,1,"","","where","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.facility.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.facility.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.facility.extension","hha-clm-fac-type-cd-extension","extensions
user content","",1,1,"","","","Extension {https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-clm-fac-type-cd-extension}
","Claim Facility Type Code","Optional Extension Element - found in all resources.","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.","","","","","","","","",,"required","","https://bluebutton.cms.gov/assets/ig/ValueSet-clm-fac-type-cd","",,,,"Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.facility.reference","","","",0,0,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.facility.identifier","","","",1,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.facility.display","","","",0,0,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.claim","","","",0,0,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Claim}
","Claim reference","The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.claim",0,1,"","","why","A02|G01","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.claim.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.claim.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.claim.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.claim.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.claim.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.claimResponse","","","",0,0,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-ClaimResponse}
","Claim response reference","The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.claimResponse",0,1,"","","A02|G01","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.claimResponse.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.claimResponse.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.claimResponse.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.claimResponse.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.claimResponse.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.outcome","","","",0,0,"","","","CodeableConcept
","complete | error | partial","Processing outcome errror, partial or complete processing.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","The result of the claim processing","https://bluebutton.cms.gov/assets/ig/ValueSet-remittance-outcome","",,,,"ExplanationOfBenefit.outcome",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.outcome.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.outcome.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.outcome.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.outcome.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.outcome.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.outcome.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.outcome.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.outcome.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.outcome.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.outcome.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.outcome.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.disposition","","","",0,0,"","","","string
","Disposition Message","A description of the status of the adjudication.","Do we need a disposition code?","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.disposition",0,1,"","","n/a"
"ExplanationOfBenefit.related","","","",0,0,"","","","BackboneElement
","Related Claims which may be revelant to processing this claim","Other claims which are related to this claim such as prior claim versions or for related services.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.related",0,*,"","","n/a"
"ExplanationOfBenefit.related.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.related.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.related.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.related.claim","","","",0,1,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Claim}
","Reference to the related claim","Other claims which are related to this claim such as prior claim versions or for related services.","Do we need a relationship code?","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.related.claim",0,1,"","","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.related.claim.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.related.claim.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.related.claim.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.related.claim.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.related.claim.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.related.relationship","","","",0,1,"","","","CodeableConcept
","How the reference claim is related","For example prior or umbrella.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Relationship of this claim to a related Claim","https://bluebutton.cms.gov/assets/ig/ValueSet-related-claim-relationship","",,,,"ExplanationOfBenefit.related.relationship",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.related.relationship.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.related.relationship.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.related.relationship.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.related.relationship.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.related.relationship.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.related.relationship.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.related.relationship.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.related.relationship.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.related.relationship.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.related.relationship.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.related.relationship.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.related.reference","","","",0,1,"","","","Identifier
","Related file or case reference","An alternate organizational reference to the case or file to which this particular claim pertains - eg Property/Casualy insurer claim # or Workers Compensation case # .","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.related.reference",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"
"ExplanationOfBenefit.related.reference.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.related.reference.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.related.reference.use","","","",0,1,"","Y","Y","code
","usual | official | temp | secondary (If known)","The purpose of this identifier.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","https://bluebutton.cms.gov/assets/ig/ValueSet-identifier-use","",,,,"Identifier.use",0,1,"","","N/A","n/a","Role.code or implied by context"
"ExplanationOfBenefit.related.reference.type","","","",0,1,"","","Y","CodeableConcept
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","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.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","https://bluebutton.cms.gov/assets/ig/ValueSet-identifier-type","",,,,"Identifier.type",0,1,"","","CE/CNE/CWE","CX.5","n/a","CD","Role.code or implied by context"
"ExplanationOfBenefit.related.reference.type.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.related.reference.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.related.reference.type.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.related.reference.type.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.related.reference.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.related.reference.type.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.related.reference.type.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.related.reference.type.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.related.reference.type.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.related.reference.type.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.related.reference.type.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.related.reference.system","","","",0,1,"","","Y","uri
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","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.","","","","","<valueUri xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri""/>","","",,,,,"",,,,"Identifier.system",0,1,"","","CX.4 / EI-2-4","n/a","II.root or Role.id.root"
"ExplanationOfBenefit.related.reference.value","","","",0,1,"","","Y","string
","The value that is unique","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","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](extension-rendered-value.html).","","","","","","<valueString xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","","CX.1 / EI.1","n/a","II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
"ExplanationOfBenefit.related.reference.period","","","",0,1,"","","Y","Period
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. ""the patient was an inpatient of the hospital for this time range"") or one value from the range applies (e.g. ""give to the patient between these two times""). If duration is required, specify the type as Interval|Duration.","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","","DR","CX.7 + CX.8","n/a","IVL<TS>[lowClosed=""true"" and highClosed=""true""] or URG<TS>[lowClosed=""true"" and highClosed=""true""]","Role.effectiveTime or implied by context"
"ExplanationOfBenefit.related.reference.period.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.related.reference.period.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.related.reference.period.start","","","",0,1,"","","Y","dateTime
","Starting time with inclusive boundary","The start of the period. The boundary is inclusive.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"","","DR.1","n/a","./low"
"ExplanationOfBenefit.related.reference.period.end","","","",0,1,"","","Y","dateTime
","End time with inclusive boundary, if not ongoing","The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"","","DR.2","n/a","./high"
"ExplanationOfBenefit.related.reference.assigner","","","",0,1,"","","Y","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Organization}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","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.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","","CX.4 / (CX.4,CX.9,CX.10)","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)","II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"
"ExplanationOfBenefit.related.reference.assigner.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.related.reference.assigner.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.related.reference.assigner.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.related.reference.assigner.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.related.reference.assigner.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.prescription","","","",0,0,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-MedicationRequest}
Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-VisionPrescription}","Prescription authorizing services or products","Prescription to support the dispensing of Pharmacy or Vision products.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","For type=Pharmacy and Vision only.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.prescription",0,1,"","","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.prescription.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.prescription.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.prescription.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.prescription.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.prescription.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.originalPrescription","","","",0,0,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-MedicationRequest}
","Original prescription if superseded by fulfiller","Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefore issues a new prescription for an alternate medication which has the same therpeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.originalPrescription",0,1,"","","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.originalPrescription.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.originalPrescription.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.originalPrescription.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.originalPrescription.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.originalPrescription.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.payee","","","",0,0,"","","","BackboneElement
","Party to be paid any benefits payable","The party to be reimbursed for the services.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.payee",0,1,"","","F02","n/a"
"ExplanationOfBenefit.payee.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payee.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payee.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payee.type","","","",0,1,"","","","CodeableConcept
","Type of party: Subscriber, Provider, other","Type of Party to be reimbursed: Subscriber, provider, other.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","A code for the party to be reimbursed.","https://bluebutton.cms.gov/assets/ig/ValueSet-payeetype","",,,,"ExplanationOfBenefit.payee.type",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.payee.type.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payee.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payee.type.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.payee.type.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payee.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payee.type.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.payee.type.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.payee.type.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.payee.type.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.payee.type.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.payee.type.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.payee.resourceType","","","",0,1,"","","","CodeableConcept
","organization | patient | practitioner | relatedperson","organization | patient | practitioner | relatedperson.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"required","The type of payee Resource","https://bluebutton.cms.gov/assets/ig/ValueSet-resource-type-link","",,,,"ExplanationOfBenefit.payee.resourceType",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.payee.resourceType.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payee.resourceType.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payee.resourceType.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.payee.resourceType.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payee.resourceType.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payee.resourceType.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.payee.resourceType.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.payee.resourceType.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.payee.resourceType.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.payee.resourceType.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.payee.resourceType.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.payee.party","","","",0,1,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Practitioner}
Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Organization}Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Patient}Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-RelatedPerson}","Party to receive the payable","Party to be reimbursed: Subscriber, provider, other.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.payee.party",0,1,"","","B03, B04","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.payee.party.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payee.party.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payee.party.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.payee.party.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.payee.party.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.information","","","",0,*,"","","","BackboneElement
","Exceptions, special considerations, the condition, situation, prior or concurrent issues","Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are multiple jurisdiction specific valuesets which are required.","","Typically these information codes are required to support the services rendered or the adjudication of the services rendered.","","","","","","","",,"required","","https://bluebutton.cms.gov/assets/ig/ValueSet-information-categories","",,,,"ExplanationOfBenefit.information",0,*,"","","n/a"
"ExplanationOfBenefit.information.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.information.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.information.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.information.sequence","","","",1,1,"","","","positiveInt
","Information instance identifier","Sequence of the information element which serves to provide a link.","32 bit number; for values larger than this, use decimal","To provide a reference link.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.information.sequence",1,1,"","","n/a"
"ExplanationOfBenefit.information.category","","","",1,1,"","","","CodeableConcept
","General class of information","The general class of the information supplied: information; exception; accident, employment; onset, etc.","This may contain the local bill type codes such as the US UB-04 bill type code.","","","","","","","","",,"example","The valuset used for additional information category codes.","https://bluebutton.cms.gov/assets/ig/ValueSet-claim-informationcategory","",,,,"ExplanationOfBenefit.information.category",1,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.information.category.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.information.category.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.information.category.coding","","","",1,1,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.information.category.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.information.category.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.information.category.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.information.category.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.information.category.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.information.category.coding.display","","","",1,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.information.category.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.information.category.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.information.code","","","",1,1,"","","","CodeableConcept
","Type of information","System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient  for which care is sought which may influence the adjudication.","This may contain the local bill type codes such as the US UB-04 bill type code.","","","","","","","","",,"example","The valuset used for additional information codes.","https://bluebutton.cms.gov/assets/ig/ValueSet-claim-exception","",,,,"ExplanationOfBenefit.information.code",0,1,"","","F23","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.information.code.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.information.code.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.information.code.coding","","","",1,1,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.information.code.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.information.code.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.information.code.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.information.code.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.information.code.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.information.code.coding.display","","","",1,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.information.code.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.information.code.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.information.timing[x]","","","",0,0,"","","","date
Period","When it occurred","The date when or period to which this information refers.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.information.timing[x]",0,1,"","","F24","n/a"
"ExplanationOfBenefit.information.value[x]","","","",0,1,"","","","string
QuantityAttachmentReference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Resource}","Additional Data or supporting information","Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.information.value[x]",0,1,"","","n/a"
"ExplanationOfBenefit.information.reason","","","",0,0,"","","","Coding
","Reason associated with the information","For example, provides the reason for: the additional stay, or missing tooth or any other situation where a reason code is required in addition to the content.","Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.","","","","","","","","",,"example","Reason codes for the missing teeth","https://bluebutton.cms.gov/assets/ig/ValueSet-missing-tooth-reason","",,,,"ExplanationOfBenefit.information.reason",0,1,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","n/a","CV"
"ExplanationOfBenefit.information.reason.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.information.reason.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.information.reason.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.information.reason.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.information.reason.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.information.reason.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.information.reason.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.careTeam","","","",0,*,"","","","BackboneElement
","Care Team members","The members of the team who provided the overall service as well as their role and whether responsible and qualifications.","","Role and Responsible may not be required when there is only a single provider listed.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.careTeam",0,*,"","","n/a"
"ExplanationOfBenefit.careTeam.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.careTeam.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.careTeam.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.careTeam.sequence","","","",1,1,"","","","positiveInt
","Number to covey order of careteam","Sequence of careteam which serves to order and provide a link.","32 bit number; for values larger than this, use decimal","Required to maintain order of the careteam members.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.careTeam.sequence",1,1,"","","n/a"
"ExplanationOfBenefit.careTeam.provider","","","",1,1,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Practitioner}
Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Organization}","Member of the Care Team","The members of the team who provided the overall service.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.careTeam.provider",1,1,"","","who.actor","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.careTeam.provider.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.careTeam.provider.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.careTeam.provider.reference","","","",0,0,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.careTeam.provider.identifier","","","",1,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.careTeam.provider.display","","","",0,0,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.careTeam.responsible","","","",0,0,"","","","boolean
","Billing practitioner","The practitioner who is billing and responsible for the claimed services rendered to the patient.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.careTeam.responsible",0,1,"","","n/a"
"ExplanationOfBenefit.careTeam.role","","","",0,1,"","","","CodeableConcept
","Role on the team","The lead, assisting or supervising practitioner and their discipline if a multidisiplinary team.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","The role codes for the care team members.","https://bluebutton.cms.gov/assets/ig/ValueSet-claim-careteamrole","",,,,"ExplanationOfBenefit.careTeam.role",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.careTeam.role.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.careTeam.role.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.careTeam.role.coding","","","",1,1,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.careTeam.role.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.careTeam.role.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.careTeam.role.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.careTeam.role.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.careTeam.role.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.careTeam.role.coding.display","","","",1,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.careTeam.role.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.careTeam.role.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.careTeam.qualification","","","",0,0,"","","","CodeableConcept
","Type, classification or Specialization","The qualification which is applicable for this service.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Provider professional qualifications","https://bluebutton.cms.gov/assets/ig/ValueSet-provider-qualification","",,,,"ExplanationOfBenefit.careTeam.qualification",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.careTeam.qualification.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.careTeam.qualification.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.careTeam.qualification.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.careTeam.qualification.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.careTeam.qualification.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.careTeam.qualification.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.careTeam.qualification.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.careTeam.qualification.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.careTeam.qualification.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.careTeam.qualification.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.careTeam.qualification.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.diagnosis","","","",0,*,"","","","BackboneElement
","List of Diagnosis","Ordered list of patient diagnosis for which care is sought.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.diagnosis",0,*,"","","n/a"
"ExplanationOfBenefit.diagnosis.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.diagnosis.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.diagnosis.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.diagnosis.sequence","","","",1,1,"","","","positiveInt
","Number to covey order of diagnosis","Sequence of diagnosis which serves to provide a link.","32 bit number; for values larger than this, use decimal","Required to allow line items to reference the diagnoses.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.diagnosis.sequence",1,1,"","","n/a"
"ExplanationOfBenefit.diagnosis.diagnosis[x]","","","",1,1,"","","","CodeableConcept
Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Condition}","Patient's diagnosis","The diagnosis.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","Required to adjudicate services rendered to condition presented.","","","","","","","",,"example","ICD10 Diagnostic codes","https://bluebutton.cms.gov/assets/ig/ValueSet-icd-10","",,,,"ExplanationOfBenefit.diagnosis.diagnosis[x]",1,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.diagnosis.type","","","",0,1,"","","","CodeableConcept
","Timing or nature of the diagnosis","The type of the Diagnosis, for example: admitting, primary, secondary, discharge.","Diagnosis are presented in list order to their expected importance: primary, secondary, etc.","Required to adjudicate services rendered to the mandated diagnosis grouping system.","","","","","","","",,"example","The type of the diagnosis: admitting, principal, discharge","https://bluebutton.cms.gov/assets/ig/ValueSet-ex-diagnosistype","",,,,"ExplanationOfBenefit.diagnosis.type",0,*,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.diagnosis.type.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.diagnosis.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.diagnosis.type.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.diagnosis.type.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.diagnosis.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.diagnosis.type.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.diagnosis.type.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.diagnosis.type.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.diagnosis.type.coding.display","","","",0,0,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.diagnosis.type.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.diagnosis.type.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.diagnosis.packageCode","","","",0,1,"","","","CodeableConcept
","Package billing code","The package billing code, for example DRG, based on the assigned grouping code system.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","Required to adjudicate services rendered to the mandated grouping system.","","","","","","","",,"example","The DRG codes associated with the diagnosis","https://bluebutton.cms.gov/assets/ig/ValueSet-ex-diagnosisrelatedgroup","",,,,"ExplanationOfBenefit.diagnosis.packageCode",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.diagnosis.packageCode.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.diagnosis.packageCode.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.diagnosis.packageCode.coding","","","",1,1,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.diagnosis.packageCode.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.diagnosis.packageCode.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.diagnosis.packageCode.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.diagnosis.packageCode.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.diagnosis.packageCode.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.diagnosis.packageCode.coding.display","","","",0,0,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.diagnosis.packageCode.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.diagnosis.packageCode.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.procedure","","","",0,0,"","","","BackboneElement
","Procedures performed","Ordered list of patient procedures performed to support the adjudication.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.procedure",0,*,"","","n/a"
"ExplanationOfBenefit.procedure.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.procedure.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.procedure.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.procedure.sequence","","","",1,1,"","","","positiveInt
","Procedure sequence for reference","Sequence of procedures which serves to order and provide a link.","32 bit number; for values larger than this, use decimal","Required to maintain order of the procedures.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.procedure.sequence",1,1,"","","n/a"
"ExplanationOfBenefit.procedure.date","","","",0,1,"","","","dateTime
","When the procedure was performed","Date and optionally time the procedure was performed .","SB DateTime??","Required to adjudicate services rendered.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.procedure.date",0,1,"","","n/a"
"ExplanationOfBenefit.procedure.procedure[x]","","","",1,1,"","","","CodeableConcept
Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Procedure}","Patient's list of procedures performed","The procedure code.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","Required to adjudicate services rendered.","","","","","","","",,"example","ICD10 Procedure codes","https://bluebutton.cms.gov/assets/ig/ValueSet-icd-10-procedures","",,,,"ExplanationOfBenefit.procedure.procedure[x]",1,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.precedence","","","",0,0,"","","","positiveInt
","Precedence (primary, secondary, etc.)","Precedence (primary, secondary, etc.).","32 bit number; for values larger than this, use decimal","Health care programs and insurers are significant payers of health service costs.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.precedence",0,1,"","","n/a"
"ExplanationOfBenefit.insurance","","","",1,1,"","","","BackboneElement
","Insurance or medical plan","Financial instrument by which payment information for health care.","","Health care programs and insurers are significant payers of health service costs.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.insurance",0,1,"","","Coverage","n/a"
"ExplanationOfBenefit.insurance.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.insurance.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.insurance.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.insurance.coverage","","","",1,1,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Coverage}
","Insurance information","Reference to the program or plan identification, underwriter or payor.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","Need to identify the issuer to target for processing and for coordination of benefit processing.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.insurance.coverage",0,1,"","","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.insurance.coverage.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.insurance.coverage.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.insurance.coverage.reference","","","",1,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.insurance.coverage.identifier","","","",0,0,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.insurance.coverage.display","","","",0,0,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.insurance.preAuthRef","","","",0,0,"","","","string
","Pre-Authorization/Determination Reference","A list of references from the Insurer to which these services pertain.","Note that FHIR strings may not exceed 1MB in size","To provide any pre=determination or prior authorization reference.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.insurance.preAuthRef",0,*,"","","F03","n/a"
"ExplanationOfBenefit.accident","","","",0,0,"","","","BackboneElement
","Details of an accident","An accident which resulted in the need for healthcare services.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.accident",0,1,"","","n/a"
"ExplanationOfBenefit.accident.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.accident.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.accident.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.accident.date","","","",0,1,"","","","date
","When the accident occurred","Date of an accident which these services are addressing.","","Coverage may be dependent on accidents.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.accident.date",0,1,"","","F02","n/a"
"ExplanationOfBenefit.accident.type","","","",0,1,"","","","CodeableConcept
","The nature of the accident","Type of accident: work, auto, etc.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","Coverage may be dependent on the type of accident.","","","","","","","",,"required","Type of accident: work place, auto, etc.","https://bluebutton.cms.gov/assets/ig/ValueSet-v3-ActIncidentCode","",,,,"ExplanationOfBenefit.accident.type",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.accident.type.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.accident.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.accident.type.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.accident.type.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.accident.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.accident.type.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.accident.type.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.accident.type.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.accident.type.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.accident.type.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.accident.type.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.accident.location[x]","","","",0,1,"","","","Address
Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Location}","Accident Place","Where the accident occurred.","Note: address is for postal addresses, not physical locations.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.accident.location[x]",0,1,"","","XAD","n/a","AD"
"ExplanationOfBenefit.employmentImpacted","","","",0,0,"","","","Period
","Period unable to work","The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).","This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. ""the patient was an inpatient of the hospital for this time range"") or one value from the range applies (e.g. ""give to the patient between these two times""). If duration is required, specify the type as Interval|Duration.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.employmentImpacted",0,1,"","","DR","n/a","IVL<TS>[lowClosed=""true"" and highClosed=""true""] or URG<TS>[lowClosed=""true"" and highClosed=""true""]"
"ExplanationOfBenefit.employmentImpacted.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.employmentImpacted.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.employmentImpacted.start","","","",0,1,"","","Y","dateTime
","Starting time with inclusive boundary","The start of the period. The boundary is inclusive.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"","","DR.1","n/a","./low"
"ExplanationOfBenefit.employmentImpacted.end","","","",0,1,"","","Y","dateTime
","End time with inclusive boundary, if not ongoing","The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"","","DR.2","n/a","./high"
"ExplanationOfBenefit.hospitalization","","","",0,1,"","","","Period
","Period in hospital","The start and optional end dates of when the patient was confined to a treatment center.","This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. ""the patient was an inpatient of the hospital for this time range"") or one value from the range applies (e.g. ""give to the patient between these two times""). If duration is required, specify the type as Interval|Duration.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.hospitalization",0,1,"","","DR","n/a","IVL<TS>[lowClosed=""true"" and highClosed=""true""] or URG<TS>[lowClosed=""true"" and highClosed=""true""]"
"ExplanationOfBenefit.hospitalization.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.hospitalization.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.hospitalization.start","","","",1,1,"","","Y","dateTime
","Starting time with inclusive boundary","The start of the period. The boundary is inclusive.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"","","DR.1","n/a","./low"
"ExplanationOfBenefit.hospitalization.end","","","",1,1,"","","Y","dateTime
","End time with inclusive boundary, if not ongoing","The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"","","DR.2","n/a","./high"
"ExplanationOfBenefit.item","","","",1,*,"","","","BackboneElement
","Goods and Services","First tier of goods and services.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item",0,*,"","","n/a"
"ExplanationOfBenefit.item.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.extension","hha-rev-cntr-ndc-qty-extension","extensions
user content","",1,1,"","","","Extension {https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-rev-cntr-ndc-qty-extension}
","Revenue Center National Drug Code (NDC) Quantity","Optional Extension Element - found in all resources.","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.","","","","","","","","",,"required","","https://bluebutton.cms.gov/assets/ig/ValueSet-rev-cntr-ndc-qty-qlfr-cd","",,,,"Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.sequence","","","",1,1,"","","","positiveInt
","Service instance","A service line number.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.sequence",1,1,"","","F07","n/a"
"ExplanationOfBenefit.item.careTeamLinkId","","","",0,1,"","","","positiveInt
","Applicable careteam members","Careteam applicable for this service or product line.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.careTeamLinkId",0,*,"","","n/a"
"ExplanationOfBenefit.item.diagnosisLinkId","","","",0,0,"","","","positiveInt
","Applicable diagnoses","Diagnosis applicable for this service or product line.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.diagnosisLinkId",0,*,"","","n/a"
"ExplanationOfBenefit.item.procedureLinkId","","","",0,0,"","","","positiveInt
","Applicable procedures","Procedures applicable for this service or product line.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.procedureLinkId",0,*,"","","n/a"
"ExplanationOfBenefit.item.informationLinkId","","","",0,0,"","","","positiveInt
","Applicable exception and supporting information","Exceptions, special conditions and supporting information pplicable for this service or product line.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.informationLinkId",0,*,"","","n/a"
"ExplanationOfBenefit.item.revenue","","","",0,1,"","","","CodeableConcept
","Revenue or cost center code","The type of reveneu or cost center providing the product and/or service.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Codes for the revenue or cost centers supplying the service and/or products.","https://bluebutton.cms.gov/assets/ig/ValueSet-ex-revenue-center","",,,,"ExplanationOfBenefit.item.revenue",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.revenue.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.revenue.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.revenue.extension","hha-rev-cntr-stus-ind-cd-extension","extensions
user content","",1,1,"","","","Extension {https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-rev-cntr-stus-ind-cd-extension}
","Revenue Center Status Indicator Code","Optional Extension Element - found in all resources.","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.","","","","","","","","",,"required","","https://bluebutton.cms.gov/assets/ig/ValueSet-rev-cntr-stus-ind-cd","",,,,"Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.revenue.extension","hha-rev-cntr-ddctbl-coinsrnc-cd-extension","extensions
user content","",1,1,"","","","Extension {https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-rev-cntr-ddctbl-coinsrnc-cd-extension}
","Revenue Center Deductible Coinsurance Code","Optional Extension Element - found in all resources.","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.","","","","","","","","",,"required","","https://bluebutton.cms.gov/assets/ig/ValueSet-rev-cntr-ddctbl-coinsrnc-cd","",,,,"Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.revenue.coding","","","",1,1,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.revenue.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.revenue.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.revenue.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.revenue.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.revenue.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.revenue.coding.display","","","",0,0,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.revenue.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.revenue.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.category","","","",0,0,"","","","CodeableConcept
","Type of service or product","Health Care Service Type Codes  to identify the classification of service or benefits.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Benefit subcategories such as: oral-basic, major, glasses","https://bluebutton.cms.gov/assets/ig/ValueSet-benefit-subcategory","",,,,"ExplanationOfBenefit.item.category",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.category.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.category.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.category.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.category.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.category.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.category.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.category.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.category.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.category.coding.display","","","",1,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.category.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.category.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.service","","","",0,1,"","","","CodeableConcept
","Billing Code","If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Allowable service and product codes","https://bluebutton.cms.gov/assets/ig/ValueSet-service-uscls","",,,,"ExplanationOfBenefit.item.service",0,1,"","","F06","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.service.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.service.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.service.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.service.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.service.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.service.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.service.coding.version","","","",1,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.service.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.service.coding.display","","","",0,0,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.service.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.service.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.modifier","","","",0,*,"","","","CodeableConcept
","Service/Product billing modifiers","Item typification or modifiers codes, eg for 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.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","May impact on adjudication.","","","","","","","",,"example","Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","https://bluebutton.cms.gov/assets/ig/ValueSet-claim-modifiers","",,,,"ExplanationOfBenefit.item.modifier",0,*,"","","F16 (required field for Oral) and F05","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.modifier.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.modifier.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.modifier.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.modifier.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.modifier.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.modifier.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.modifier.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.modifier.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.modifier.coding.display","","","",0,0,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.modifier.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.modifier.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.programCode","","","",0,0,"","","","CodeableConcept
","Program specific reason for item inclusion","For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Program specific reason codes","https://bluebutton.cms.gov/assets/ig/ValueSet-ex-program-code","",,,,"ExplanationOfBenefit.item.programCode",0,*,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.programCode.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.programCode.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.programCode.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.programCode.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.programCode.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.programCode.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.programCode.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.programCode.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.programCode.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.programCode.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.programCode.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.servicedDate","servicedDate","","",0,1,"","","","date
","Date or dates of Service","The date or dates when the enclosed suite of services were performed or completed.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.serviced[x]",0,1,"","","when.done","F09","n/a"
"ExplanationOfBenefit.item.servicedDate.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.servicedDate.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.servicedDate.value","","","",0,1,"","","","null
","Primitive value for date","Primitive value for date","","","","","","","","","",,,,,"",,,,"date.value",0,1,"",""
"ExplanationOfBenefit.item.locationAddress","locationAddress","","",0,1,"","","","Address
","Place of service","Where the service was provided.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Place where the service is rendered","https://bluebutton.cms.gov/assets/ig/ValueSet-service-place","",,,,"ExplanationOfBenefit.item.location[x]",0,1,"","","where","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.locationAddress.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.locationAddress.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.locationAddress.use","","","",0,0,"","Y","Y","code
","home | work | temp | old - purpose of this address","The purpose of this address.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary or old address etc.for a current/permanent one. Applications can assume that an address is current unless it explicitly says that it is temporary or old.","Allows an appropriate address to be chosen from a list of many.","","","","","<valueCode xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""home""/>","","",,"required","The use of an address","https://bluebutton.cms.gov/assets/ig/ValueSet-address-use","",,,,"Address.use",0,1,"","","XAD.7","n/a","unique(./use)"
"ExplanationOfBenefit.item.locationAddress.type","","","",0,0,"","","Y","code
","postal | physical | both","Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.","Note that FHIR strings may not exceed 1MB in size","","","","","","<valueCode xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""both""/>","","",,"required","The type of an address (physical / postal)","https://bluebutton.cms.gov/assets/ig/ValueSet-address-type","",,,,"Address.type",0,1,"","","XAD.18","n/a","unique(./use)"
"ExplanationOfBenefit.item.locationAddress.text","","","",0,0,"","","Y","string
","Text representation of the address","A full text representation of the address.","Can provide both a text representation and parts.","A renderable, unencoded form.","","","","","<valueString xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""137 Nowhere Street, Erewhon 9132""/>","","",,,,,"",,,,"Address.text",0,1,"","","XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6","n/a","./formatted"
"ExplanationOfBenefit.item.locationAddress.line","","","",0,0,"","","Y","string
","Street name, number, direction & P.O. Box etc.","This component contains the house number, apartment number, street name, street direction,  P.O. Box number, delivery hints, and similar address information.","Note that FHIR strings may not exceed 1MB in size","home | work | temp | old - purpose of this address.","","","","","<valueString xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""137 Nowhere Street""/>","","",,,,,"",,,,"Address.line",0,*,"","","XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)","n/a","AD.part[parttype = AL]"
"ExplanationOfBenefit.item.locationAddress.city","","Municpality
","",0,0,"","","Y","string
","Name of city, town etc.","The name of the city, town, village or other community or delivery center.","Note that FHIR strings may not exceed 1MB in size","","","","","","<valueString xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""Erewhon""/>","","",,,,,"",,,,"Address.city",0,1,"","","XAD.3","n/a","AD.part[parttype = CTY]"
"ExplanationOfBenefit.item.locationAddress.district","","County
","",0,0,"","","Y","string
","District name (aka county)","The name of the administrative area (county).","District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.","","","","","","<valueString xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""Madison""/>","","",,,,,"",,,,"Address.district",0,1,"","","XAD.9","n/a","AD.part[parttype = CNT | CPA]"
"ExplanationOfBenefit.item.locationAddress.state","","Province
Territory","",1,1,"","","Y","string
","Sub-unit of country (abbreviations ok)","Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes).","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Address.state",0,1,"","","XAD.4","n/a","AD.part[parttype = STA]"
"ExplanationOfBenefit.item.locationAddress.postalCode","","Zip
","",0,0,"","","Y","string
","Postal code for area","A postal code designating a region defined by the postal service.","Note that FHIR strings may not exceed 1MB in size","","","","","","<valueString xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""9132""/>","","",,,,,"",,,,"Address.postalCode",0,1,"","","XAD.5","n/a","AD.part[parttype = ZIP]"
"ExplanationOfBenefit.item.locationAddress.country","","","",0,0,"","","Y","string
","Country (e.g. can be ISO 3166 2 or 3 letter code)","Country - a nation as commonly understood or generally accepted.","ISO 3166 3 letter codes can be used in place of a full country name.","","","","","","","","",,,,,"",,,,"Address.country",0,1,"","","XAD.6","n/a","AD.part[parttype = CNT]"
"ExplanationOfBenefit.item.locationAddress.period","","","",0,0,"","","Y","Period
","Time period when address was/is in use","Time period when address was/is in use.","This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. ""the patient was an inpatient of the hospital for this time range"") or one value from the range applies (e.g. ""give to the patient between these two times""). If duration is required, specify the type as Interval|Duration.","Allows addresses to be placed in historical context.","","","","","<valuePeriod xmlns=""https://bluebutton.cms.gov/assets/ig"">
  <start value=""2010-03-23""/>
  <end value=""2010-07-01""/>
</valuePeriod>","","",,,,,"",,,,"Address.period",0,1,"","","DR","XAD.12 / XAD.13 + XAD.14","n/a","IVL<TS>[lowClosed=""true"" and highClosed=""true""] or URG<TS>[lowClosed=""true"" and highClosed=""true""]","./usablePeriod[type=""IVL<TS>""]"
"ExplanationOfBenefit.item.locationAddress.period.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.locationAddress.period.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.locationAddress.period.start","","","",0,1,"","","Y","dateTime
","Starting time with inclusive boundary","The start of the period. The boundary is inclusive.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"","","DR.1","n/a","./low"
"ExplanationOfBenefit.item.locationAddress.period.end","","","",0,1,"","","Y","dateTime
","End time with inclusive boundary, if not ongoing","The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"","","DR.2","n/a","./high"
"ExplanationOfBenefit.item.quantity","","","",0,1,"","","","Quantity {https://bluebutton.cms.gov/assets/ig/StructureDefinition-SimpleQuantity}
","Count of Products or Services","The number of repetitions of a service or product.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.quantity",0,1,"","","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values"
"ExplanationOfBenefit.item.quantity.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.quantity.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.quantity.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.item.quantity.comparator","","","",0,0,"","Y","Y","code
","< | <= | >= | > - how to understand the value","Not allowed to be used in this context","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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.item.quantity.unit","","","",0,0,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.item.quantity.system","","","",0,0,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.item.quantity.code","","","",0,0,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.item.unitPrice","","","",0,0,"","","","Money
","Fee, charge or cost per point","If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.unitPrice",0,1,"","","F12","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.item.unitPrice.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.unitPrice.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.unitPrice.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.item.unitPrice.comparator","","","",0,1,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.item.unitPrice.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.item.unitPrice.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.item.unitPrice.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.item.factor","","","",0,0,"","","","decimal
","Price scaling factor","A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","Do not use a IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)","If a fee is present the associated product/service code must be present.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.factor",0,1,"","","F13/F14","n/a"
"ExplanationOfBenefit.item.net","","","",0,0,"","","","Money
","Total item cost","The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","If a fee is present the associated product/service code must be present.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.net",0,1,"","","F13/F14","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.item.net.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.net.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.net.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.item.net.comparator","","","",0,1,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.item.net.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.item.net.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.item.net.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.item.udi","","","",0,0,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Device}
","Unique Device Identifier","List of Unique Device Identifiers associated with this line item.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","The UDI code and issuer if applicable for the supplied product.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.udi",0,*,"","","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.item.udi.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.udi.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.udi.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.item.udi.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.item.udi.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.item.bodySite","","","",0,0,"","","","CodeableConcept
","Service Location","Physical service site on the patient (limb, tooth, etc).","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","The code for the teeth, quadrant, sextant and arch","https://bluebutton.cms.gov/assets/ig/ValueSet-tooth","",,,,"ExplanationOfBenefit.item.bodySite",0,1,"","","F10","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.bodySite.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.bodySite.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.bodySite.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.bodySite.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.bodySite.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.bodySite.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.bodySite.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.bodySite.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.bodySite.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.bodySite.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.bodySite.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.subSite","","","",0,0,"","","","CodeableConcept
","Service Sub-location","A region or surface of the site, eg. limb region or tooth surface(s).","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","The code for the tooth surface and surface combinations","https://bluebutton.cms.gov/assets/ig/ValueSet-surface","",,,,"ExplanationOfBenefit.item.subSite",0,*,"","","F11","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.subSite.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.subSite.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.subSite.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.subSite.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.subSite.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.subSite.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.subSite.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.subSite.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.subSite.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.subSite.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.subSite.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.encounter","","","",0,0,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Encounter}
","Encounters related to this billed item","A billed item may include goods or services provided in multiple encounters.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.encounter",0,*,"","","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.item.encounter.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.encounter.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.encounter.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.item.encounter.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.item.encounter.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.item.noteNumber","","","",0,0,"","","","positiveInt
","List of note numbers which apply","A list of note references to the notes provided below.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.noteNumber",0,*,"","","n/a"
"ExplanationOfBenefit.item.adjudication","","","",0,*,"","","","BackboneElement
","Adjudication details","The adjudications results.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.adjudication",0,*,"","","n/a"
"ExplanationOfBenefit.item.adjudication.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.adjudication.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.adjudication.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.adjudication.category","","","",1,1,"","","","CodeableConcept
","Adjudication category such as co-pay, eligible, benefit, etc.","Code indicating: Co-Pay, deductible, elegible, benefit, tax, etc.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","The adjudication codes.","https://bluebutton.cms.gov/assets/ig/ValueSet-adjudication","",,,,"ExplanationOfBenefit.item.adjudication.category",1,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.adjudication.category.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.adjudication.category.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.adjudication.category.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.adjudication.category.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.adjudication.category.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.adjudication.category.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.adjudication.category.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.adjudication.category.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.adjudication.category.coding.display","","","",1,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.adjudication.category.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.adjudication.category.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.adjudication.reason","","","",0,1,"","","","CodeableConcept
","Explanation of Adjudication outcome","Adjudication reason such as limit reached.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Adjudication reason codes.","https://bluebutton.cms.gov/assets/ig/ValueSet-adjudication-reason","",,,,"ExplanationOfBenefit.item.adjudication.reason",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.adjudication.reason.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.adjudication.reason.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.adjudication.reason.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.adjudication.reason.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.adjudication.reason.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.adjudication.reason.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.adjudication.reason.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.adjudication.reason.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.adjudication.reason.coding.display","","","",0,0,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.adjudication.reason.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.adjudication.reason.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.adjudication.amount","","","",0,1,"","","","Money
","Monetary amount","Monitory amount associated with the code.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.adjudication.amount",0,1,"","","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.item.adjudication.amount.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.adjudication.amount.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.adjudication.amount.value","","","",1,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.item.adjudication.amount.comparator","","","",0,0,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.item.adjudication.amount.unit","","","",0,0,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.item.adjudication.amount.system","","","",1,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.item.adjudication.amount.code","","","",1,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.item.adjudication.value","","","",0,0,"","","","decimal
","Non-monitory value","A non-monetary value for example a percentage. Mutually exclusive to the amount element above.","Do not use a IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.adjudication.value",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail","","","",0,0,"","","","BackboneElement
","Additional items","Second tier of goods and services.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail",0,*,"","","n/a"
"ExplanationOfBenefit.item.detail.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.sequence","","","",1,1,"","","","positiveInt
","Service instance","A service line number.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.sequence",1,1,"","","F07","n/a"
"ExplanationOfBenefit.item.detail.type","","","",1,1,"","","","CodeableConcept
","Group or type of product or service","The type of product or service.","ItemType.","","","","","","","","",,"required","Service, Product, Rx Dispense, Rx Compound etc.","https://bluebutton.cms.gov/assets/ig/ValueSet-v3-ActInvoiceGroupCode","",,,,"ExplanationOfBenefit.item.detail.type",1,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.type.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.type.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.type.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.type.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.type.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.type.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.type.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.type.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.type.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.revenue","","","",0,1,"","","","CodeableConcept
","Revenue or cost center code","The type of reveneu or cost center providing the product and/or service.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Codes for the revenue or cost centers supplying the service and/or products.","https://bluebutton.cms.gov/assets/ig/ValueSet-ex-revenue-center","",,,,"ExplanationOfBenefit.item.detail.revenue",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.revenue.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.revenue.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.revenue.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.revenue.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.revenue.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.revenue.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.revenue.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.revenue.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.revenue.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.revenue.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.revenue.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.category","","","",0,1,"","","","CodeableConcept
","Type of service or product","Health Care Service Type Codes  to identify the classification of service or benefits.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Benefit subcategories such as: oral-basic, major, glasses","https://bluebutton.cms.gov/assets/ig/ValueSet-benefit-subcategory","",,,,"ExplanationOfBenefit.item.detail.category",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.category.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.category.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.category.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.category.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.category.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.category.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.category.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.category.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.category.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.category.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.category.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.service","","","",0,1,"","","","CodeableConcept
","Billing Code","If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Allowable service and product codes","https://bluebutton.cms.gov/assets/ig/ValueSet-service-uscls","",,,,"ExplanationOfBenefit.item.detail.service",0,1,"","","F34/F35","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.service.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.service.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.service.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.service.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.service.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.service.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.service.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.service.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.service.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.service.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.service.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.modifier","","","",0,*,"","","","CodeableConcept
","Service/Product billing modifiers","Item typification or modifiers codes, eg for 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.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","May impact on adjudication.","","","","","","","",,"example","Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","https://bluebutton.cms.gov/assets/ig/ValueSet-claim-modifiers","",,,,"ExplanationOfBenefit.item.detail.modifier",0,*,"","","F16 (required field for Oral) and F05","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.modifier.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.modifier.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.modifier.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.modifier.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.modifier.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.modifier.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.modifier.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.modifier.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.modifier.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.modifier.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.modifier.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.programCode","","","",0,*,"","","","CodeableConcept
","Program specific reason for item inclusion","For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Program specific reason codes","https://bluebutton.cms.gov/assets/ig/ValueSet-ex-program-code","",,,,"ExplanationOfBenefit.item.detail.programCode",0,*,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.programCode.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.programCode.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.programCode.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.programCode.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.programCode.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.programCode.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.programCode.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.programCode.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.programCode.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.programCode.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.programCode.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.quantity","","","",0,1,"","","","Quantity {https://bluebutton.cms.gov/assets/ig/StructureDefinition-SimpleQuantity}
","Count of Products or Services","The number of repetitions of a service or product.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.quantity",0,1,"","","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values"
"ExplanationOfBenefit.item.detail.quantity.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.quantity.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.quantity.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.item.detail.quantity.comparator","","","",0,0,"","Y","Y","code
","< | <= | >= | > - how to understand the value","Not allowed to be used in this context","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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.item.detail.quantity.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.item.detail.quantity.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.item.detail.quantity.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.item.detail.unitPrice","","","",0,1,"","","","Money
","Fee, charge or cost per point","If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","If a fee is present the associated product/service code must be present.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.unitPrice",0,1,"","","F13/F14","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.item.detail.unitPrice.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.unitPrice.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.unitPrice.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.item.detail.unitPrice.comparator","","","",0,1,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.item.detail.unitPrice.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.item.detail.unitPrice.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.item.detail.unitPrice.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.item.detail.factor","","","",0,1,"","","","decimal
","Price scaling factor","A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","Do not use a IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)","If a fee is present the associated product/service code must be present.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.factor",0,1,"","","F13/F14","n/a"
"ExplanationOfBenefit.item.detail.net","","","",0,1,"","","","Money
","Total additional item cost","The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","If a fee is present the associated product/service code must be present.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.net",0,1,"","","F13/F14","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.item.detail.net.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.net.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.net.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.item.detail.net.comparator","","","",0,1,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.item.detail.net.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.item.detail.net.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.item.detail.net.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.item.detail.udi","","","",0,*,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Device}
","Unique Device Identifier","List of Unique Device Identifiers associated with this line item.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","The UDI code and issuer if applicable for the supplied product.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.udi",0,*,"","","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.item.detail.udi.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.udi.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.udi.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.udi.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.item.detail.udi.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.noteNumber","","","",0,*,"","","","positiveInt
","List of note numbers which apply","A list of note references to the notes provided below.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.noteNumber",0,*,"","","n/a"
"ExplanationOfBenefit.item.detail.adjudication","","","",0,*,"","","","","Detail level adjudication details","The adjudications results.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.adjudication",0,*,"",""
"ExplanationOfBenefit.item.detail.subDetail","","","",0,*,"","","","BackboneElement
","Additional items","Third tier of goods and services.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.subDetail",0,*,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.sequence","","","",1,1,"","","","positiveInt
","Service instance","A service line number.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.subDetail.sequence",1,1,"","","F07","n/a"
"ExplanationOfBenefit.item.detail.subDetail.type","","","",1,1,"","","","CodeableConcept
","Type of product or service","The type of product or service.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"required","Service, Product, Rx Dispense, Rx Compound etc.","https://bluebutton.cms.gov/assets/ig/ValueSet-v3-ActInvoiceGroupCode","",,,,"ExplanationOfBenefit.item.detail.subDetail.type",1,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.subDetail.type.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.type.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.subDetail.type.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.type.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.subDetail.type.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.subDetail.type.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.subDetail.type.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.subDetail.type.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.subDetail.type.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.subDetail.revenue","","","",0,1,"","","","CodeableConcept
","Revenue or cost center code","The type of reveneu or cost center providing the product and/or service.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Codes for the revenue or cost centers supplying the service and/or products.","https://bluebutton.cms.gov/assets/ig/ValueSet-ex-revenue-center","",,,,"ExplanationOfBenefit.item.detail.subDetail.revenue",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.subDetail.revenue.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.revenue.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.revenue.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.subDetail.revenue.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.revenue.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.revenue.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.subDetail.revenue.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.subDetail.revenue.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.subDetail.revenue.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.subDetail.revenue.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.subDetail.revenue.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.subDetail.category","","","",0,1,"","","","CodeableConcept
","Type of service or product","Health Care Service Type Codes  to identify the classification of service or benefits.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Benefit subcategories such as: oral-basic, major, glasses","https://bluebutton.cms.gov/assets/ig/ValueSet-benefit-subcategory","",,,,"ExplanationOfBenefit.item.detail.subDetail.category",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.subDetail.category.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.category.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.category.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.subDetail.category.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.category.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.category.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.subDetail.category.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.subDetail.category.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.subDetail.category.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.subDetail.category.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.subDetail.category.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.subDetail.service","","","",0,1,"","","","CodeableConcept
","Billing Code","A code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI).","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Allowable service and product codes","https://bluebutton.cms.gov/assets/ig/ValueSet-service-uscls","",,,,"ExplanationOfBenefit.item.detail.subDetail.service",0,1,"","","F34/F35","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.subDetail.service.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.service.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.service.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.subDetail.service.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.service.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.service.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.subDetail.service.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.subDetail.service.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.subDetail.service.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.subDetail.service.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.subDetail.service.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.subDetail.modifier","","","",0,*,"","","","CodeableConcept
","Service/Product billing modifiers","Item typification or modifiers codes, eg for 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.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","May impact on adjudication.","","","","","","","",,"example","Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","https://bluebutton.cms.gov/assets/ig/ValueSet-claim-modifiers","",,,,"ExplanationOfBenefit.item.detail.subDetail.modifier",0,*,"","","F16 (required field for Oral) and F05","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.subDetail.modifier.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.modifier.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.modifier.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.subDetail.modifier.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.modifier.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.modifier.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.subDetail.modifier.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.subDetail.modifier.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.subDetail.modifier.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.subDetail.modifier.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.subDetail.modifier.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.subDetail.programCode","","","",0,*,"","","","CodeableConcept
","Program specific reason for item inclusion","For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Program specific reason codes","https://bluebutton.cms.gov/assets/ig/ValueSet-ex-program-code","",,,,"ExplanationOfBenefit.item.detail.subDetail.programCode",0,*,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.item.detail.subDetail.programCode.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.programCode.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.programCode.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.item.detail.subDetail.programCode.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.programCode.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.programCode.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.item.detail.subDetail.programCode.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.item.detail.subDetail.programCode.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.item.detail.subDetail.programCode.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.item.detail.subDetail.programCode.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.item.detail.subDetail.programCode.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.item.detail.subDetail.quantity","","","",0,1,"","","","Quantity {https://bluebutton.cms.gov/assets/ig/StructureDefinition-SimpleQuantity}
","Count of Products or Services","The number of repetitions of a service or product.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.subDetail.quantity",0,1,"","","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values"
"ExplanationOfBenefit.item.detail.subDetail.quantity.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.quantity.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.quantity.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.item.detail.subDetail.quantity.comparator","","","",0,0,"","Y","Y","code
","< | <= | >= | > - how to understand the value","Not allowed to be used in this context","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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.item.detail.subDetail.quantity.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.item.detail.subDetail.quantity.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.item.detail.subDetail.quantity.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.item.detail.subDetail.unitPrice","","","",0,1,"","","","Money
","Fee, charge or cost per point","The fee for an additional service or product or charge.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","If a fee is present the associated product/service code must be present.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.subDetail.unitPrice",0,1,"","","F13/F14","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.item.detail.subDetail.unitPrice.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.unitPrice.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.unitPrice.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.item.detail.subDetail.unitPrice.comparator","","","",0,1,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.item.detail.subDetail.unitPrice.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.item.detail.subDetail.unitPrice.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.item.detail.subDetail.unitPrice.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.item.detail.subDetail.factor","","","",0,1,"","","","decimal
","Price scaling factor","A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","Do not use a IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)","If a fee is present the associated product/service code must be present.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.subDetail.factor",0,1,"","","F13/F14","n/a"
"ExplanationOfBenefit.item.detail.subDetail.net","","","",0,1,"","","","Money
","Net additional item cost","The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","If a fee is present the associated product/service code must be present.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.subDetail.net",0,1,"","","F13/F14","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.item.detail.subDetail.net.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.net.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.net.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.item.detail.subDetail.net.comparator","","","",0,1,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.item.detail.subDetail.net.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.item.detail.subDetail.net.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.item.detail.subDetail.net.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.item.detail.subDetail.udi","","","",0,*,"","","","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Device}
","Unique Device Identifier","List of Unique Device Identifiers associated with this line item.","References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.","The UDI code and issuer if applicable for the supplied product.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.subDetail.udi",0,*,"","","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
"ExplanationOfBenefit.item.detail.subDetail.udi.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.udi.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.udi.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.udi.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.item.detail.subDetail.udi.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.item.detail.subDetail.noteNumber","","","",0,*,"","","","positiveInt
","List of note numbers which apply","A list of note references to the notes provided below.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.subDetail.noteNumber",0,*,"","","n/a"
"ExplanationOfBenefit.item.detail.subDetail.adjudication","","","",0,*,"","","","","Language if different from the resource","The adjudications results.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.item.detail.subDetail.adjudication",0,*,"",""
"ExplanationOfBenefit.addItem","","","",0,0,"","","","BackboneElement
","Insurer added line items","The first tier service adjudications for payor added services.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.addItem",0,*,"","","n/a"
"ExplanationOfBenefit.addItem.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.sequenceLinkId","","","",0,*,"","","","positiveInt
","Service instances","List of input service items which this service line is intended to replace.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.addItem.sequenceLinkId",0,*,"","","n/a"
"ExplanationOfBenefit.addItem.revenue","","","",0,1,"","","","CodeableConcept
","Revenue or cost center code","The type of reveneu or cost center providing the product and/or service.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Codes for the revenue or cost centers supplying the service and/or products.","https://bluebutton.cms.gov/assets/ig/ValueSet-ex-revenue-center","",,,,"ExplanationOfBenefit.addItem.revenue",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.addItem.revenue.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.revenue.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.revenue.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.addItem.revenue.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.revenue.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.revenue.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.addItem.revenue.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.addItem.revenue.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.addItem.revenue.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.addItem.revenue.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.addItem.revenue.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.addItem.category","","","",0,1,"","","","CodeableConcept
","Type of service or product","Health Care Service Type Codes  to identify the classification of service or benefits.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Benefit subcategories such as: oral-basic, major, glasses","https://bluebutton.cms.gov/assets/ig/ValueSet-benefit-subcategory","",,,,"ExplanationOfBenefit.addItem.category",0,1,"","","F06","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.addItem.category.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.category.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.category.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.addItem.category.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.category.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.category.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.addItem.category.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.addItem.category.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.addItem.category.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.addItem.category.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.addItem.category.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.addItem.service","","","",0,1,"","","","CodeableConcept
","Billing Code","If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Allowable service and product codes","https://bluebutton.cms.gov/assets/ig/ValueSet-service-uscls","",,,,"ExplanationOfBenefit.addItem.service",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.addItem.service.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.service.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.service.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.addItem.service.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.service.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.service.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.addItem.service.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.addItem.service.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.addItem.service.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.addItem.service.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.addItem.service.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.addItem.modifier","","","",0,*,"","","","CodeableConcept
","Service/Product billing modifiers","Item typification or modifiers codes, eg for 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.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","May impact on adjudication.","","","","","","","",,"example","Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","https://bluebutton.cms.gov/assets/ig/ValueSet-claim-modifiers","",,,,"ExplanationOfBenefit.addItem.modifier",0,*,"","","F16 (required field for Oral) and F05","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.addItem.modifier.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.modifier.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.modifier.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.addItem.modifier.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.modifier.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.modifier.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.addItem.modifier.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.addItem.modifier.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.addItem.modifier.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.addItem.modifier.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.addItem.modifier.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.addItem.fee","","","",0,1,"","","","Money
","Professional fee or Product charge","The fee charged for the professional service or product.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.addItem.fee",0,1,"","","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.addItem.fee.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.fee.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.fee.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.addItem.fee.comparator","","","",0,1,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.addItem.fee.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.addItem.fee.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.addItem.fee.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.addItem.noteNumber","","","",0,*,"","","","positiveInt
","List of note numbers which apply","A list of note references to the notes provided below.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.addItem.noteNumber",0,*,"","","n/a"
"ExplanationOfBenefit.addItem.adjudication","","","",0,*,"","","","","Added items adjudication","The adjudications results.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.addItem.adjudication",0,*,"",""
"ExplanationOfBenefit.addItem.detail","","","",0,*,"","","","BackboneElement
","Added items details","The second tier service adjudications for payor added services.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.addItem.detail",0,*,"","","n/a"
"ExplanationOfBenefit.addItem.detail.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.detail.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.detail.revenue","","","",0,1,"","","","CodeableConcept
","Revenue or cost center code","The type of reveneu or cost center providing the product and/or service.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Codes for the revenue or cost centers supplying the service and/or products.","https://bluebutton.cms.gov/assets/ig/ValueSet-ex-revenue-center","",,,,"ExplanationOfBenefit.addItem.detail.revenue",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.addItem.detail.revenue.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.detail.revenue.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.detail.revenue.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.addItem.detail.revenue.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.detail.revenue.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.detail.revenue.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.addItem.detail.revenue.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.addItem.detail.revenue.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.addItem.detail.revenue.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.addItem.detail.revenue.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.addItem.detail.revenue.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.addItem.detail.category","","","",0,1,"","","","CodeableConcept
","Type of service or product","Health Care Service Type Codes  to identify the classification of service or benefits.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Benefit subcategories such as: oral-basic, major, glasses","https://bluebutton.cms.gov/assets/ig/ValueSet-benefit-subcategory","",,,,"ExplanationOfBenefit.addItem.detail.category",0,1,"","","F06","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.addItem.detail.category.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.detail.category.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.detail.category.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.addItem.detail.category.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.detail.category.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.detail.category.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.addItem.detail.category.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.addItem.detail.category.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.addItem.detail.category.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.addItem.detail.category.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.addItem.detail.category.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.addItem.detail.service","","","",0,1,"","","","CodeableConcept
","Billing Code","A code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI).","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Allowable service and product codes","https://bluebutton.cms.gov/assets/ig/ValueSet-service-uscls","",,,,"ExplanationOfBenefit.addItem.detail.service",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.addItem.detail.service.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.detail.service.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.detail.service.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.addItem.detail.service.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.detail.service.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.detail.service.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.addItem.detail.service.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.addItem.detail.service.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.addItem.detail.service.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.addItem.detail.service.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.addItem.detail.service.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.addItem.detail.modifier","","","",0,*,"","","","CodeableConcept
","Service/Product billing modifiers","Item typification or modifiers codes, eg for 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.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","May impact on adjudication.","","","","","","","",,"example","Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","https://bluebutton.cms.gov/assets/ig/ValueSet-claim-modifiers","",,,,"ExplanationOfBenefit.addItem.detail.modifier",0,*,"","","F16 (required field for Oral) and F05","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.addItem.detail.modifier.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.detail.modifier.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.detail.modifier.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.addItem.detail.modifier.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.detail.modifier.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.detail.modifier.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.addItem.detail.modifier.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.addItem.detail.modifier.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.addItem.detail.modifier.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.addItem.detail.modifier.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.addItem.detail.modifier.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.addItem.detail.fee","","","",0,1,"","","","Money
","Professional fee or Product charge","The fee charged for the professional service or product.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.addItem.detail.fee",0,1,"","","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.addItem.detail.fee.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.addItem.detail.fee.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.addItem.detail.fee.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.addItem.detail.fee.comparator","","","",0,1,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.addItem.detail.fee.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.addItem.detail.fee.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.addItem.detail.fee.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.addItem.detail.noteNumber","","","",0,*,"","","","positiveInt
","List of note numbers which apply","A list of note references to the notes provided below.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.addItem.detail.noteNumber",0,*,"","","n/a"
"ExplanationOfBenefit.addItem.detail.adjudication","","","",0,*,"","","","","Added items detail adjudication","The adjudications results.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.addItem.detail.adjudication",0,*,"",""
"ExplanationOfBenefit.totalCost","","","",0,1,"","","","Money
","Total Cost of service from the Claim","The total cost of the services reported.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","This is a check value that the receiver calculates and returns.","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.totalCost",0,1,"","","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.totalCost.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.totalCost.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.totalCost.value","","","",1,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.totalCost.comparator","","","",0,0,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.totalCost.unit","","","",0,0,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.totalCost.system","","","",1,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.totalCost.code","","","",1,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.unallocdeductible","","","",0,0,"","","","Money
","Unallocated deductible","The amount of deductible applied which was not allocated to any particular service line.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.unallocdeductible",0,1,"","","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.unallocdeductible.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.unallocdeductible.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.unallocdeductible.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.unallocdeductible.comparator","","","",0,1,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.unallocdeductible.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.unallocdeductible.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.unallocdeductible.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.totalBenefit","","","",0,0,"","","","Money
","Total benefit payable for the Claim","Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated deductible).","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.totalBenefit",0,1,"","","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.totalBenefit.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.totalBenefit.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.totalBenefit.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.totalBenefit.comparator","","","",0,1,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.totalBenefit.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.totalBenefit.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.totalBenefit.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.payment","","","",1,1,"","","","BackboneElement
","Payment (if paid)","Payment details for the claim if the claim has been paid.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.payment",0,1,"","","n/a"
"ExplanationOfBenefit.payment.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.type","","","",0,0,"","","","CodeableConcept
","Partial or Complete","Whether this represents partial or complete payment of the claim.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","The type (partial, complete) of the payment","https://bluebutton.cms.gov/assets/ig/ValueSet-ex-paymenttype","",,,,"ExplanationOfBenefit.payment.type",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.payment.type.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.type.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.payment.type.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.type.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.payment.type.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.payment.type.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.payment.type.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.payment.type.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.payment.type.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.payment.adjustment","","","",0,0,"","","","Money
","Payment adjustment for non-Claim issues","Adjustment to the payment of this transaction which is not related to adjudication of this transaction.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.payment.adjustment",0,1,"","","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.payment.adjustment.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.adjustment.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.adjustment.value","","","",0,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.payment.adjustment.comparator","","","",0,1,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.payment.adjustment.unit","","","",0,1,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.payment.adjustment.system","","","",0,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.payment.adjustment.code","","","",0,1,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.payment.adjustmentReason","","","",0,0,"","","","CodeableConcept
","Explanation for the non-claim adjustment","Reason for the payment adjustment.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Payment Adjustment reason codes.","https://bluebutton.cms.gov/assets/ig/ValueSet-payment-adjustment-reason","",,,,"ExplanationOfBenefit.payment.adjustmentReason",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.payment.adjustmentReason.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.adjustmentReason.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.adjustmentReason.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.payment.adjustmentReason.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.adjustmentReason.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.adjustmentReason.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.payment.adjustmentReason.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.payment.adjustmentReason.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.payment.adjustmentReason.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.payment.adjustmentReason.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.payment.adjustmentReason.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.payment.date","","","",0,0,"","","","date
","Expected date of Payment","Estimated payment date.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.payment.date",0,1,"","","n/a"
"ExplanationOfBenefit.payment.amount","","","",1,1,"","","","Money
","Payable amount after adjustment","Payable less any payment adjustment.","The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.payment.amount",0,1,"","","SN (see also Range) or CQ","n/a","PQ, IVL<PQ>, MO, CO, depending on the values","MO"
"ExplanationOfBenefit.payment.amount.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.amount.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.amount.value","","","",1,1,"","","Y","decimal
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the 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).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"","","SN.2  / CQ - N/A","n/a","PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
"ExplanationOfBenefit.payment.amount.comparator","","","",0,0,"","Y","Y","code
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated 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.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","https://bluebutton.cms.gov/assets/ig/ValueSet-quantity-comparator","",,,,"Quantity.comparator",0,1,"","","SN.1  / CQ.1","n/a","IVL properties"
"ExplanationOfBenefit.payment.amount.unit","","","",0,0,"","","Y","string
","Unit representation","A human-readable form of the unit.","Note that FHIR strings may not exceed 1MB in size","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.unit"
"ExplanationOfBenefit.payment.amount.system","","","",1,1,"","","Y","uri
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","CO.codeSystem, PQ.translation.codeSystem"
"ExplanationOfBenefit.payment.amount.code","","","",0,0,"","","Y","code
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","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.","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.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"","","(see OBX.6 etc.) / CQ.2","n/a","PQ.code, MO.currency, PQ.translation.code"
"ExplanationOfBenefit.payment.identifier","","","",0,0,"","","","Identifier
","Identifier of the payment instrument","Payment identifer.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.payment.identifier",0,1,"","","G01, B.23","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"
"ExplanationOfBenefit.payment.identifier.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.identifier.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.identifier.use","","","",0,1,"","Y","Y","code
","usual | official | temp | secondary (If known)","The purpose of this identifier.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","https://bluebutton.cms.gov/assets/ig/ValueSet-identifier-use","",,,,"Identifier.use",0,1,"","","N/A","n/a","Role.code or implied by context"
"ExplanationOfBenefit.payment.identifier.type","","","",0,1,"","","Y","CodeableConcept
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","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.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","https://bluebutton.cms.gov/assets/ig/ValueSet-identifier-type","",,,,"Identifier.type",0,1,"","","CE/CNE/CWE","CX.5","n/a","CD","Role.code or implied by context"
"ExplanationOfBenefit.payment.identifier.type.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.identifier.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.identifier.type.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.payment.identifier.type.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.identifier.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.identifier.type.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.payment.identifier.type.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.payment.identifier.type.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.payment.identifier.type.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.payment.identifier.type.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.payment.identifier.type.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.payment.identifier.system","","","",0,1,"","","Y","uri
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","see http://en.wikipedia.org/wiki/Uniform_resource_identifier","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.","","","","","<valueUri xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri""/>","","",,,,,"",,,,"Identifier.system",0,1,"","","CX.4 / EI-2-4","n/a","II.root or Role.id.root"
"ExplanationOfBenefit.payment.identifier.value","","","",0,1,"","","Y","string
","The value that is unique","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","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](extension-rendered-value.html).","","","","","","<valueString xmlns=""https://bluebutton.cms.gov/assets/ig"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","","CX.1 / EI.1","n/a","II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
"ExplanationOfBenefit.payment.identifier.period","","","",0,1,"","","Y","Period
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. ""the patient was an inpatient of the hospital for this time range"") or one value from the range applies (e.g. ""give to the patient between these two times""). If duration is required, specify the type as Interval|Duration.","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","","DR","CX.7 + CX.8","n/a","IVL<TS>[lowClosed=""true"" and highClosed=""true""] or URG<TS>[lowClosed=""true"" and highClosed=""true""]","Role.effectiveTime or implied by context"
"ExplanationOfBenefit.payment.identifier.period.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.identifier.period.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.identifier.period.start","","","",0,1,"","","Y","dateTime
","Starting time with inclusive boundary","The start of the period. The boundary is inclusive.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"","","DR.1","n/a","./low"
"ExplanationOfBenefit.payment.identifier.period.end","","","",0,1,"","","Y","dateTime
","End time with inclusive boundary, if not ongoing","The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"","","DR.2","n/a","./high"
"ExplanationOfBenefit.payment.identifier.assigner","","","",0,1,"","","Y","Reference {https://bluebutton.cms.gov/assets/ig/StructureDefinition-Organization}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","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.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","","CX.4 / (CX.4,CX.9,CX.10)","n/a","The target of a resource reference is a RIM entry point (Act, Role, or Entity)","II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"
"ExplanationOfBenefit.payment.identifier.assigner.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.payment.identifier.assigner.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.payment.identifier.assigner.reference","","","",0,1,"","","Y","string
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.payment.identifier.assigner.identifier","","","",0,1,"","","Y","Identifier
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","","CX / EI (occasionally, more often EI maps to a resource id or a URL)","n/a","II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",".identifier"
"ExplanationOfBenefit.payment.identifier.assigner.display","","","",0,1,"","","Y","string
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","","n/a","N/A"
"ExplanationOfBenefit.form","","","",0,0,"","","","CodeableConcept
","Printed Form Identifier","The form to be used for printing the content.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","The forms codes.","https://bluebutton.cms.gov/assets/ig/ValueSet-forms","",,,,"ExplanationOfBenefit.form",0,1,"","","G42","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.form.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.form.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.form.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.form.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.form.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.form.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.form.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.form.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.form.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.form.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.form.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.processNote","","","",0,0,"","","","BackboneElement
","Processing notes","Note text.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.processNote",0,*,"","","n/a"
"ExplanationOfBenefit.processNote.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.processNote.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.processNote.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.processNote.number","","","",0,1,"","","","positiveInt
","Sequence number for this note","An integer associated with each note which may be referred to from each service line item.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.processNote.number",0,1,"","","n/a"
"ExplanationOfBenefit.processNote.type","","","",0,1,"","","","CodeableConcept
","display | print | printoper","The note purpose: Print/Display.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"required","The presentation types of notes.","https://bluebutton.cms.gov/assets/ig/ValueSet-note-type","",,,,"ExplanationOfBenefit.processNote.type",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.processNote.type.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.processNote.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.processNote.type.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.processNote.type.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.processNote.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.processNote.type.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.processNote.type.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.processNote.type.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.processNote.type.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.processNote.type.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.processNote.type.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.processNote.text","","","",0,1,"","","","string
","Note explanitory text","The note text.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.processNote.text",0,1,"","","G32","n/a"
"ExplanationOfBenefit.processNote.language","","","",0,1,"","","","CodeableConcept
","Language if different from the resource","The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. ""en"" for English, or ""en-US"" for American English versus ""en-EN"" for England English.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"extensible","A human language.","https://bluebutton.cms.gov/assets/ig/ValueSet-languages","",,,,"ExplanationOfBenefit.processNote.language",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.processNote.language.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.processNote.language.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.processNote.language.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.processNote.language.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.processNote.language.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.processNote.language.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.processNote.language.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.processNote.language.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.processNote.language.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.processNote.language.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.processNote.language.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.benefitBalance","","","",0,*,"","","","BackboneElement
","Balance by Benefit Category","Balance by Benefit Category.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.benefitBalance",0,*,"","","n/a"
"ExplanationOfBenefit.benefitBalance.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.category","","","",1,1,"","","","CodeableConcept
","Type of services covered","Dental, Vision, Medical, Pharmacy, Rehab etc.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Benefit categories such as: oral, medical, vision etc.","https://bluebutton.cms.gov/assets/ig/ValueSet-benefit-category","",,,,"ExplanationOfBenefit.benefitBalance.category",1,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.benefitBalance.category.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.category.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.category.coding","","","",1,1,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.benefitBalance.category.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.category.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.category.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.benefitBalance.category.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.benefitBalance.category.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.benefitBalance.category.coding.display","","","",1,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.benefitBalance.category.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.benefitBalance.category.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.benefitBalance.subCategory","","","",0,0,"","","","CodeableConcept
","Detailed services covered within the type","Dental: basic, major, ortho; Vision exam, glasses, contacts; etc.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Benefit subcategories such as: oral-basic, major, glasses","https://bluebutton.cms.gov/assets/ig/ValueSet-benefit-subcategory","",,,,"ExplanationOfBenefit.benefitBalance.subCategory",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.benefitBalance.subCategory.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.subCategory.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.subCategory.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.benefitBalance.subCategory.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.subCategory.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.subCategory.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.benefitBalance.subCategory.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.benefitBalance.subCategory.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.benefitBalance.subCategory.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.benefitBalance.subCategory.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.benefitBalance.subCategory.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.benefitBalance.excluded","","","",0,0,"","","","boolean
","Excluded from the plan","True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.benefitBalance.excluded",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.name","","","",0,0,"","","","string
","Short name for the benefit","A short name or tag for the benefit, for example MED01, or DENT2.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.benefitBalance.name",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.description","","","",0,0,"","","","string
","Description of the benefit or services covered","A richer description of the benefit, for example 'DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services'.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.benefitBalance.description",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.network","","","",0,0,"","","","CodeableConcept
","In or out of network","Network designation.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Code to classify in or out of network services","https://bluebutton.cms.gov/assets/ig/ValueSet-benefit-network","",,,,"ExplanationOfBenefit.benefitBalance.network",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.benefitBalance.network.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.network.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.network.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.benefitBalance.network.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.network.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.network.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.benefitBalance.network.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.benefitBalance.network.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.benefitBalance.network.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.benefitBalance.network.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.benefitBalance.network.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.benefitBalance.unit","","","",0,0,"","","","CodeableConcept
","Individual or family","Unit designation: individual or family.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Unit covered/serviced - individual or family","https://bluebutton.cms.gov/assets/ig/ValueSet-benefit-unit","",,,,"ExplanationOfBenefit.benefitBalance.unit",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.benefitBalance.unit.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.unit.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.unit.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.benefitBalance.unit.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.unit.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.unit.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.benefitBalance.unit.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.benefitBalance.unit.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.benefitBalance.unit.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.benefitBalance.unit.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.benefitBalance.unit.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.benefitBalance.term","","","",0,0,"","","","CodeableConcept
","Annual or lifetime","The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual vistis'.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","Coverage unit - annual, lifetime","https://bluebutton.cms.gov/assets/ig/ValueSet-benefit-term","",,,,"ExplanationOfBenefit.benefitBalance.term",0,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.benefitBalance.term.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.term.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.term.coding","","","",0,*,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.benefitBalance.term.coding.id","","","",0,1,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.term.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.term.coding.system","","","",0,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.benefitBalance.term.coding.version","","","",0,1,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.benefitBalance.term.coding.code","","","",0,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.benefitBalance.term.coding.display","","","",0,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.benefitBalance.term.coding.userSelected","","","",0,1,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.benefitBalance.term.text","","","",0,1,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.benefitBalance.financial","","","",0,*,"","","","BackboneElement
","Benefit Summary","Benefits Used to date.","","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.benefitBalance.financial",0,*,"","","n/a"
"ExplanationOfBenefit.benefitBalance.financial.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.financial.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.financial.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the 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.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.financial.type","","","",1,1,"","","","CodeableConcept
","deductible, visits, benefit amount","deductible, visits, benefit amount.","Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.","","","","","","","","",,"example","deductible, visits, co-pay, etc.","https://bluebutton.cms.gov/assets/ig/ValueSet-benefit-type","",,,,"ExplanationOfBenefit.benefitBalance.financial.type",1,1,"","","CE/CNE/CWE","n/a","CD"
"ExplanationOfBenefit.benefitBalance.financial.type.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.financial.type.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.financial.type.coding","","","",1,1,"","","Y","Coding
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","","CE/CNE/CWE subset one of the sets of component 1-3 or 4-6","C*E.1-8, C*E.10-22","n/a","CV","union(., ./translation)"
"ExplanationOfBenefit.benefitBalance.financial.type.coding.id","","","",0,0,"","","","string
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","Note that FHIR strings may not exceed 1MB in size","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.financial.type.coding.extension","","extensions
user content","",0,*,"","","","Extension
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the 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.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","","n/a","N/A"
"ExplanationOfBenefit.benefitBalance.financial.type.coding.system","","","",1,1,"","","Y","uri
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"","","C*E.3","n/a","./codeSystem"
"ExplanationOfBenefit.benefitBalance.financial.type.coding.version","","","",0,0,"","","Y","string
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","","C*E.7","n/a","./codeSystemVersion"
"ExplanationOfBenefit.benefitBalance.financial.type.coding.code","","","",1,1,"","","Y","code
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","Note that FHIR strings may not exceed 1MB in size","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","","C*E.1","n/a","./code"
"ExplanationOfBenefit.benefitBalance.financial.type.coding.display","","","",1,1,"","","Y","string
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","Note that FHIR strings may not exceed 1MB in size","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","","C*E.2 - but note this is not well followed","n/a","CV.displayName"
"ExplanationOfBenefit.benefitBalance.financial.type.coding.userSelected","","","",0,0,"","","Y","boolean
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","","Sometimes implied by being first","n/a","CD.codingRationale"
"ExplanationOfBenefit.benefitBalance.financial.type.text","","","",0,0,"","","Y","string
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","","C*E.9. But note many systems use C*E.2 for this","n/a","./originalText[mediaType/code=""text/plain""]/data"
"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","","","",0,0,"","","","unsignedInt
stringMoney","Benefits allowed","Benefits allowed.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.benefitBalance.financial.allowed[x]",0,1,"","","n/a"
"ExplanationOfBenefit.benefitBalance.financial.used[x]","","","",1,1,"","","","unsignedInt
Money","Benefits used","Benefits used.","32 bit number; for values larger than this, use decimal","","","","","","","","",,,,,"",,,,"ExplanationOfBenefit.benefitBalance.financial.used[x]",0,1,"","","n/a"