FHIR IG analytics| Package | hl7.fhir.uv.xver-r4b.r3 |
| Resource Type | ConceptMap |
| Id | ConceptMap-R4B-ExplanationOfBenefit-element-map-to-R3.json |
| FHIR Version | R3 |
| Source | http://hl7.org/fhir/uv/xver-r4b.r3/0.1.0/ConceptMap-R4B-ExplanationOfBenefit-element-map-to-R3.html |
| URL | http://hl7.org/fhir/uv/xver/ConceptMap/R4B-ExplanationOfBenefit-element-map-to-R3 |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T16:04:27.8312488-05:00 |
| Name | R4BExplanationOfBenefitElementMapToR3 |
| Title | Cross-version mapping for FHIR R4B ExplanationOfBenefit to FHIR STU3 ExplanationOfBenefit |
| Realm | uv |
| Authority | hl7 |
| Description | This ConceptMap represents cross-version mappings for elements from a FHIR R4B ExplanationOfBenefit to FHIR STU3. |
No resources found
| StructureDefinition | ||
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.accident.location | R4B: Where the event occurred additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.bodySite | R4B: Anatomical location (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.detail.factor | R4B: Price scaling factor (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.detail.quantity | R4B: Count of products or services (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.detail.subDetail | R4B: Insurer added line items (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.detail.unitPrice | R4B: Fee, charge or cost per item (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.detailSequence | R4B: Detail sequence number (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.factor | R4B: Price scaling factor (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.location | R4B: Place of service or where product was supplied (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.programCode | R4B: Program the product or service is provided under (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.provider | R4B: Authorized providers (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.quantity | R4B: Count of products or services (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.serviced | R4B: Date or dates of service or product delivery (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.subDetailSequence | R4B: Subdetail sequence number (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.subSite | R4B: Anatomical sub-location (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.addItem.unitPrice | R4B: Fee, charge or cost per item (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.benefitPeriod | R4B: When the benefits are applicable (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.billablePeriod | R4B: Relevant time frame for the claim additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.diagnosis.onAdmission | R4B: Present on admission (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.form | R4B: Printed reference or actual form additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.fundsReserve | R4B: Funds reserved status (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.fundsReserveRequested | R4B: For whom to reserve funds (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.identifier | R4B: Business Identifier for the resource additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.insurance.focal | R4B: Coverage to be used for adjudication (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.item.adjudication | R4B: adjudication |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.item.location | R4B: Place of service or where product was supplied additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.item.serviced | R4B: Date or dates of service or product delivery additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.meta | R4B: meta additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.outcome | R4B: queued | complete | error | partial |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.payment.identifier | R4B: Business identifier for the payment additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.preAuthRef | R4B: Preauthorization reference (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.preAuthRefPeriod | R4B: Preauthorization in-effect period (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.priority | R4B: Desired processing urgency (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.procedure.type | R4B: Category of Procedure (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.procedure.udi | R4B: Unique device identifier (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.related.reference | R4B: File or case reference additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.supportingInfo.timing | R4B: timing additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.supportingInfo.value | R4B: Data to be provided additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.text | R4B: text additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.total | R4B: Adjudication totals (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-ExplanationOfBenefit.use | R4B: claim | preauthorization | predetermination (new) |
Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap R4B-ExplanationOfBenefit-element-map-to-R3
Mapping from http://hl7.org/fhir/4.3 to http://hl7.org/fhir/3.0
Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|3.0.2
| Source Concept Details | Relationship | Target Concept Details | Comment | ||
| Codes from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 | Codes from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|3.0.2 | ||||
| ExplanationOfBenefit.meta | meta | maps to wider concept | ExplanationOfBenefit.meta | ExplanationOfBenefit.meta | Element `ExplanationOfBenefit.meta` is mapped to FHIR STU3 element `ExplanationOfBenefit.meta` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.meta` do not cover the following types: Meta. The mappings for `ExplanationOfBenefit.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId. |
| ExplanationOfBenefit.implicitRules | implicitRules | is equivalent to | ExplanationOfBenefit.implicitRules | ExplanationOfBenefit.implicitRules | Element `ExplanationOfBenefit.implicitRules` is mapped to FHIR STU3 element `ExplanationOfBenefit.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
| ExplanationOfBenefit.language | language | is equivalent to | ExplanationOfBenefit.language | ExplanationOfBenefit.language | Element `ExplanationOfBenefit.language` is mapped to FHIR STU3 element `ExplanationOfBenefit.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
| ExplanationOfBenefit.text | text | maps to wider concept | ExplanationOfBenefit.text | ExplanationOfBenefit.text | Element `ExplanationOfBenefit.text` is mapped to FHIR STU3 element `ExplanationOfBenefit.text` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.text` do not cover the following types: Narrative. The mappings for `ExplanationOfBenefit.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
| ExplanationOfBenefit.contained | contained | is equivalent to | ExplanationOfBenefit.contained | ExplanationOfBenefit.contained | Element `ExplanationOfBenefit.contained` is mapped to FHIR STU3 element `ExplanationOfBenefit.contained` as `SourceIsBroaderThanTarget`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. |
| ExplanationOfBenefit.identifier | identifier | maps to wider concept | ExplanationOfBenefit.identifier | ExplanationOfBenefit.identifier | Element `ExplanationOfBenefit.identifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.identifier` do not cover the following types: Identifier. The mappings for `ExplanationOfBenefit.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. |
| ExplanationOfBenefit.status | status | is equivalent to | ExplanationOfBenefit.status | ExplanationOfBenefit.status | Element `ExplanationOfBenefit.status` is mapped to FHIR STU3 element `ExplanationOfBenefit.status` as `Equivalent`. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| ExplanationOfBenefit.type | type | is equivalent to | ExplanationOfBenefit.type | ExplanationOfBenefit.type | Element `ExplanationOfBenefit.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.type` as `Equivalent`. The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements. |
| ExplanationOfBenefit.subType | subType | is equivalent to | ExplanationOfBenefit.subType | ExplanationOfBenefit.subType | Element `ExplanationOfBenefit.subType` is mapped to FHIR STU3 element `ExplanationOfBenefit.subType` as `SourceIsNarrowerThanTarget`. This may contain the local bill type codes such as the US UB-04 bill type code. |
| ExplanationOfBenefit.patient | patient | maps to wider concept | ExplanationOfBenefit.patient | ExplanationOfBenefit.patient | Element `ExplanationOfBenefit.patient` is mapped to FHIR STU3 element `ExplanationOfBenefit.patient` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.patient` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.patient` with unmapped reference targets: Patient. |
| ExplanationOfBenefit.billablePeriod | billablePeriod | maps to wider concept | ExplanationOfBenefit.billablePeriod | ExplanationOfBenefit.billablePeriod | Element `ExplanationOfBenefit.billablePeriod` is mapped to FHIR STU3 element `ExplanationOfBenefit.billablePeriod` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.billablePeriod` do not cover the following types: Period. The mappings for `ExplanationOfBenefit.billablePeriod` do not cover the following types based on type expansion: end, start. Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified. |
| ExplanationOfBenefit.created | created | is equivalent to | ExplanationOfBenefit.created | ExplanationOfBenefit.created | Element `ExplanationOfBenefit.created` is mapped to FHIR STU3 element `ExplanationOfBenefit.created` as `Equivalent`. This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date. |
| ExplanationOfBenefit.enterer | enterer | maps to wider concept | ExplanationOfBenefit.enterer | ExplanationOfBenefit.enterer | Element `ExplanationOfBenefit.enterer` is mapped to FHIR STU3 element `ExplanationOfBenefit.enterer` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.enterer` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.enterer` with unmapped reference targets: Practitioner, PractitionerRole. |
| ExplanationOfBenefit.insurer | insurer | maps to wider concept | ExplanationOfBenefit.insurer | ExplanationOfBenefit.insurer | Element `ExplanationOfBenefit.insurer` is mapped to FHIR STU3 element `ExplanationOfBenefit.insurer` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.insurer` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.insurer` with unmapped reference targets: Organization. |
| ExplanationOfBenefit.provider | provider | is related to | ExplanationOfBenefit.organization | ExplanationOfBenefit.organization | Element `ExplanationOfBenefit.provider` is mapped to FHIR STU3 element `ExplanationOfBenefit.provider` as `SourceIsBroaderThanTarget`. Element `ExplanationOfBenefit.provider` is mapped to FHIR STU3 element `ExplanationOfBenefit.organization` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.provider` with unmapped reference targets: Organization, Practitioner, PractitionerRole. Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below. |
| is related to | ExplanationOfBenefit.provider | ExplanationOfBenefit.provider | Element `ExplanationOfBenefit.provider` is mapped to FHIR STU3 element `ExplanationOfBenefit.provider` as `SourceIsBroaderThanTarget`. Element `ExplanationOfBenefit.provider` is mapped to FHIR STU3 element `ExplanationOfBenefit.organization` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.provider` with unmapped reference targets: Organization, Practitioner, PractitionerRole. Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below. | ||
| ExplanationOfBenefit.related | related | maps to wider concept | ExplanationOfBenefit.related | ExplanationOfBenefit.related | Element `ExplanationOfBenefit.related` is mapped to FHIR STU3 element `ExplanationOfBenefit.related` as `Equivalent`. For example, for the original treatment and follow-up exams. |
| ExplanationOfBenefit.related.claim | claim | maps to wider concept | ExplanationOfBenefit.related.claim | ExplanationOfBenefit.related.claim | Element `ExplanationOfBenefit.related.claim` is mapped to FHIR STU3 element `ExplanationOfBenefit.related.claim` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.related.claim` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.related.claim` with unmapped reference targets: Claim. |
| ExplanationOfBenefit.related.relationship | relationship | is equivalent to | ExplanationOfBenefit.related.relationship | ExplanationOfBenefit.related.relationship | Element `ExplanationOfBenefit.related.relationship` is mapped to FHIR STU3 element `ExplanationOfBenefit.related.relationship` as `Equivalent`. For example, prior claim or umbrella. |
| ExplanationOfBenefit.related.reference | reference | maps to wider concept | ExplanationOfBenefit.related.reference | ExplanationOfBenefit.related.reference | Element `ExplanationOfBenefit.related.reference` is mapped to FHIR STU3 element `ExplanationOfBenefit.related.reference` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.related.reference` do not cover the following types: Identifier. The mappings for `ExplanationOfBenefit.related.reference` do not cover the following types based on type expansion: assigner, period, system, type, use, value. For example, Property/Casualty insurer claim number or Workers Compensation case number. |
| ExplanationOfBenefit.prescription | prescription | maps to wider concept | ExplanationOfBenefit.prescription | ExplanationOfBenefit.prescription | Element `ExplanationOfBenefit.prescription` is mapped to FHIR STU3 element `ExplanationOfBenefit.prescription` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.prescription` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.prescription` with unmapped reference targets: MedicationRequest, VisionPrescription. |
| ExplanationOfBenefit.originalPrescription | originalPrescription | maps to wider concept | ExplanationOfBenefit.originalPrescription | ExplanationOfBenefit.originalPrescription | Element `ExplanationOfBenefit.originalPrescription` is mapped to FHIR STU3 element `ExplanationOfBenefit.originalPrescription` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.originalPrescription` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.originalPrescription` with unmapped reference targets: MedicationRequest. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'. |
| ExplanationOfBenefit.payee | payee | maps to wider concept | ExplanationOfBenefit.payee | ExplanationOfBenefit.payee | Element `ExplanationOfBenefit.payee` is mapped to FHIR STU3 element `ExplanationOfBenefit.payee` as `Equivalent`. Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead. |
| ExplanationOfBenefit.payee.type | type | is equivalent to | ExplanationOfBenefit.payee.type | ExplanationOfBenefit.payee.type | Element `ExplanationOfBenefit.payee.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.payee.type` as `Equivalent`. |
| ExplanationOfBenefit.payee.party | party | maps to wider concept | ExplanationOfBenefit.payee.party | ExplanationOfBenefit.payee.party | Element `ExplanationOfBenefit.payee.party` is mapped to FHIR STU3 element `ExplanationOfBenefit.payee.party` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.payee.party` with unmapped reference targets: Organization, Patient, Practitioner, PractitionerRole, RelatedPerson. Not required if the payee is 'subscriber' or 'provider'. |
| ExplanationOfBenefit.referral | referral | maps to wider concept | ExplanationOfBenefit.referral | ExplanationOfBenefit.referral | Element `ExplanationOfBenefit.referral` is mapped to FHIR STU3 element `ExplanationOfBenefit.referral` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.referral` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.referral` with unmapped reference targets: ServiceRequest. The referral resource which lists the date, practitioner, reason and other supporting information. |
| ExplanationOfBenefit.facility | facility | maps to wider concept | ExplanationOfBenefit.facility | ExplanationOfBenefit.facility | Element `ExplanationOfBenefit.facility` is mapped to FHIR STU3 element `ExplanationOfBenefit.facility` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.facility` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.facility` with unmapped reference targets: Location. |
| ExplanationOfBenefit.claim | claim | maps to wider concept | ExplanationOfBenefit.claim | ExplanationOfBenefit.claim | Element `ExplanationOfBenefit.claim` is mapped to FHIR STU3 element `ExplanationOfBenefit.claim` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.claim` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.claim` with unmapped reference targets: Claim. |
| ExplanationOfBenefit.claimResponse | claimResponse | maps to wider concept | ExplanationOfBenefit.claimResponse | ExplanationOfBenefit.claimResponse | Element `ExplanationOfBenefit.claimResponse` is mapped to FHIR STU3 element `ExplanationOfBenefit.claimResponse` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.claimResponse` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.claimResponse` with unmapped reference targets: ClaimResponse. |
| ExplanationOfBenefit.outcome | outcome | maps to wider concept | ExplanationOfBenefit.outcome | ExplanationOfBenefit.outcome | Element `ExplanationOfBenefit.outcome` is mapped to FHIR STU3 element `ExplanationOfBenefit.outcome` as `RelatedTo`. The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete). |
| ExplanationOfBenefit.disposition | disposition | is equivalent to | ExplanationOfBenefit.disposition | ExplanationOfBenefit.disposition | Element `ExplanationOfBenefit.disposition` is mapped to FHIR STU3 element `ExplanationOfBenefit.disposition` as `Equivalent`. |
| ExplanationOfBenefit.careTeam | careTeam | maps to wider concept | ExplanationOfBenefit.careTeam | ExplanationOfBenefit.careTeam | Element `ExplanationOfBenefit.careTeam` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam` as `Equivalent`. |
| ExplanationOfBenefit.careTeam.sequence | sequence | is equivalent to | ExplanationOfBenefit.careTeam.sequence | ExplanationOfBenefit.careTeam.sequence | Element `ExplanationOfBenefit.careTeam.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam.sequence` as `Equivalent`. |
| ExplanationOfBenefit.careTeam.provider | provider | maps to wider concept | ExplanationOfBenefit.careTeam.provider | ExplanationOfBenefit.careTeam.provider | Element `ExplanationOfBenefit.careTeam.provider` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam.provider` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.careTeam.provider` with unmapped reference targets: Organization, Practitioner, PractitionerRole. |
| ExplanationOfBenefit.careTeam.responsible | responsible | is equivalent to | ExplanationOfBenefit.careTeam.responsible | ExplanationOfBenefit.careTeam.responsible | Element `ExplanationOfBenefit.careTeam.responsible` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam.responsible` as `Equivalent`. Responsible might not be required when there is only a single provider listed. |
| ExplanationOfBenefit.careTeam.role | role | is equivalent to | ExplanationOfBenefit.careTeam.role | ExplanationOfBenefit.careTeam.role | Element `ExplanationOfBenefit.careTeam.role` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam.role` as `Equivalent`. Role might not be required when there is only a single provider listed. |
| ExplanationOfBenefit.careTeam.qualification | qualification | is equivalent to | ExplanationOfBenefit.careTeam.qualification | ExplanationOfBenefit.careTeam.qualification | Element `ExplanationOfBenefit.careTeam.qualification` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam.qualification` as `Equivalent`. |
| ExplanationOfBenefit.supportingInfo | supportingInfo | maps to wider concept | ExplanationOfBenefit.information | ExplanationOfBenefit.information | Element `ExplanationOfBenefit.supportingInfo` is mapped to FHIR STU3 element `ExplanationOfBenefit.information` as `Equivalent`. Often there are multiple jurisdiction specific valuesets which are required. |
| ExplanationOfBenefit.supportingInfo.sequence | sequence | is equivalent to | ExplanationOfBenefit.information.sequence | ExplanationOfBenefit.information.sequence | Element `ExplanationOfBenefit.supportingInfo.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.sequence` as `Equivalent`. |
| ExplanationOfBenefit.supportingInfo.category | category | is equivalent to | ExplanationOfBenefit.information.category | ExplanationOfBenefit.information.category | Element `ExplanationOfBenefit.supportingInfo.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.category` as `Equivalent`. This may contain a category for the local bill type codes. |
| ExplanationOfBenefit.supportingInfo.code | code | is equivalent to | ExplanationOfBenefit.information.code | ExplanationOfBenefit.information.code | Element `ExplanationOfBenefit.supportingInfo.code` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.code` as `Equivalent`. This may contain the local bill type codes such as the US UB-04 bill type code. |
| ExplanationOfBenefit.supportingInfo.timing[x] | timing[x] | maps to wider concept | ExplanationOfBenefit.information.timing[x] | ExplanationOfBenefit.information.timing[x] | Element `ExplanationOfBenefit.supportingInfo.timing[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.timing[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.supportingInfo.timing[x]` do not cover the following types: Period. The mappings for `ExplanationOfBenefit.supportingInfo.timing[x]` do not cover the following types based on type expansion: end, start. The target context `ExplanationOfBenefit.information.timing[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.information`. |
| ExplanationOfBenefit.supportingInfo.value[x] | value[x] | maps to wider concept | ExplanationOfBenefit.information.value[x] | ExplanationOfBenefit.information.value[x] | Element `ExplanationOfBenefit.supportingInfo.value[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.value[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.supportingInfo.value[x]` do not cover the following types: Attachment, boolean. The target context `ExplanationOfBenefit.information.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.information`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.supportingInfo.value[x]` with unmapped reference targets: Resource. Source element `ExplanationOfBenefit.supportingInfo.value[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.information.value[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident. |
| ExplanationOfBenefit.supportingInfo.reason | reason | is equivalent to | ExplanationOfBenefit.information.reason | ExplanationOfBenefit.information.reason | Element `ExplanationOfBenefit.supportingInfo.reason` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.reason` as `Equivalent`. For example: the reason for the additional stay, or why a tooth is missing. |
| ExplanationOfBenefit.diagnosis | diagnosis | maps to wider concept | ExplanationOfBenefit.diagnosis | ExplanationOfBenefit.diagnosis | Element `ExplanationOfBenefit.diagnosis` is mapped to FHIR STU3 element `ExplanationOfBenefit.diagnosis` as `Equivalent`. |
| ExplanationOfBenefit.diagnosis.sequence | sequence | is equivalent to | ExplanationOfBenefit.diagnosis.sequence | ExplanationOfBenefit.diagnosis.sequence | Element `ExplanationOfBenefit.diagnosis.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.diagnosis.sequence` as `Equivalent`. Diagnosis are presented in list order to their expected importance: primary, secondary, etc. |
| ExplanationOfBenefit.diagnosis.diagnosis[x] | diagnosis[x] | maps to wider concept | ExplanationOfBenefit.diagnosis.diagnosis[x] | ExplanationOfBenefit.diagnosis.diagnosis[x] | Element `ExplanationOfBenefit.diagnosis.diagnosis[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.diagnosis.diagnosis[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.diagnosis.diagnosis[x]` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.diagnosis.diagnosis[x]` with unmapped reference targets: Condition. Source element `ExplanationOfBenefit.diagnosis.diagnosis[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.diagnosis.diagnosis[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. |
| ExplanationOfBenefit.diagnosis.type | type | is equivalent to | ExplanationOfBenefit.diagnosis.type | ExplanationOfBenefit.diagnosis.type | Element `ExplanationOfBenefit.diagnosis.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.diagnosis.type` as `Equivalent`. For example: admitting, primary, secondary, discharge. |
| ExplanationOfBenefit.diagnosis.packageCode | packageCode | is equivalent to | ExplanationOfBenefit.diagnosis.packageCode | ExplanationOfBenefit.diagnosis.packageCode | Element `ExplanationOfBenefit.diagnosis.packageCode` is mapped to FHIR STU3 element `ExplanationOfBenefit.diagnosis.packageCode` as `Equivalent`. For example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event. |
| ExplanationOfBenefit.procedure | procedure | maps to wider concept | ExplanationOfBenefit.procedure | ExplanationOfBenefit.procedure | Element `ExplanationOfBenefit.procedure` is mapped to FHIR STU3 element `ExplanationOfBenefit.procedure` as `Equivalent`. |
| ExplanationOfBenefit.procedure.sequence | sequence | is equivalent to | ExplanationOfBenefit.procedure.sequence | ExplanationOfBenefit.procedure.sequence | Element `ExplanationOfBenefit.procedure.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.procedure.sequence` as `Equivalent`. |
| ExplanationOfBenefit.procedure.date | date | is equivalent to | ExplanationOfBenefit.procedure.date | ExplanationOfBenefit.procedure.date | Element `ExplanationOfBenefit.procedure.date` is mapped to FHIR STU3 element `ExplanationOfBenefit.procedure.date` as `Equivalent`. |
| ExplanationOfBenefit.procedure.procedure[x] | procedure[x] | maps to wider concept | ExplanationOfBenefit.procedure.procedure[x] | ExplanationOfBenefit.procedure.procedure[x] | Element `ExplanationOfBenefit.procedure.procedure[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.procedure.procedure[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.procedure.procedure[x]` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.procedure.procedure[x]` with unmapped reference targets: Procedure. Source element `ExplanationOfBenefit.procedure.procedure[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.procedure.procedure[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. |
| ExplanationOfBenefit.precedence | precedence | is equivalent to | ExplanationOfBenefit.precedence | ExplanationOfBenefit.precedence | Element `ExplanationOfBenefit.precedence` is mapped to FHIR STU3 element `ExplanationOfBenefit.precedence` as `Equivalent`. |
| ExplanationOfBenefit.insurance | insurance | maps to wider concept | ExplanationOfBenefit.insurance | ExplanationOfBenefit.insurance | Element `ExplanationOfBenefit.insurance` is mapped to FHIR STU3 element `ExplanationOfBenefit.insurance` as `SourceIsBroaderThanTarget`. All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim. |
| ExplanationOfBenefit.insurance.coverage | coverage | maps to wider concept | ExplanationOfBenefit.insurance.coverage | ExplanationOfBenefit.insurance.coverage | Element `ExplanationOfBenefit.insurance.coverage` is mapped to FHIR STU3 element `ExplanationOfBenefit.insurance.coverage` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.insurance.coverage` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.insurance.coverage` with unmapped reference targets: Coverage. |
| ExplanationOfBenefit.insurance.preAuthRef | preAuthRef | is equivalent to | ExplanationOfBenefit.insurance.preAuthRef | ExplanationOfBenefit.insurance.preAuthRef | Element `ExplanationOfBenefit.insurance.preAuthRef` is mapped to FHIR STU3 element `ExplanationOfBenefit.insurance.preAuthRef` as `Equivalent`. This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier. |
| ExplanationOfBenefit.accident | accident | maps to wider concept | ExplanationOfBenefit.accident | ExplanationOfBenefit.accident | Element `ExplanationOfBenefit.accident` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident` as `Equivalent`. |
| ExplanationOfBenefit.accident.date | date | is equivalent to | ExplanationOfBenefit.accident.date | ExplanationOfBenefit.accident.date | Element `ExplanationOfBenefit.accident.date` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident.date` as `Equivalent`. The date of the accident has to precede the dates of the products and services but within a reasonable timeframe. |
| ExplanationOfBenefit.accident.type | type | is equivalent to | ExplanationOfBenefit.accident.type | ExplanationOfBenefit.accident.type | Element `ExplanationOfBenefit.accident.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident.type` as `Equivalent`. |
| ExplanationOfBenefit.accident.location[x] | location[x] | maps to wider concept | ExplanationOfBenefit.accident.location[x] | ExplanationOfBenefit.accident.location[x] | Element `ExplanationOfBenefit.accident.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident.location[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types: Address. The mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types based on type expansion: city, country, display, district, identifier, line, period, postalCode, reference, state, text, type, use. The target context `ExplanationOfBenefit.accident.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.accident`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.accident.location[x]` with unmapped reference targets: Location. Source element `ExplanationOfBenefit.accident.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.accident.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. |
| ExplanationOfBenefit.item | item | maps to wider concept | ExplanationOfBenefit.item | ExplanationOfBenefit.item | Element `ExplanationOfBenefit.item` is mapped to FHIR STU3 element `ExplanationOfBenefit.item` as `Equivalent`. |
| ExplanationOfBenefit.item.sequence | sequence | is equivalent to | ExplanationOfBenefit.item.sequence | ExplanationOfBenefit.item.sequence | Element `ExplanationOfBenefit.item.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.sequence` as `Equivalent`. |
| ExplanationOfBenefit.item.careTeamSequence | careTeamSequence | is equivalent to | ExplanationOfBenefit.item.careTeamLinkId | ExplanationOfBenefit.item.careTeamLinkId | Element `ExplanationOfBenefit.item.careTeamSequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.careTeamLinkId` as `Equivalent`. |
| ExplanationOfBenefit.item.diagnosisSequence | diagnosisSequence | is equivalent to | ExplanationOfBenefit.item.diagnosisLinkId | ExplanationOfBenefit.item.diagnosisLinkId | Element `ExplanationOfBenefit.item.diagnosisSequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.diagnosisLinkId` as `Equivalent`. |
| ExplanationOfBenefit.item.procedureSequence | procedureSequence | is equivalent to | ExplanationOfBenefit.item.procedureLinkId | ExplanationOfBenefit.item.procedureLinkId | Element `ExplanationOfBenefit.item.procedureSequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.procedureLinkId` as `Equivalent`. |
| ExplanationOfBenefit.item.informationSequence | informationSequence | is equivalent to | ExplanationOfBenefit.item.informationLinkId | ExplanationOfBenefit.item.informationLinkId | Element `ExplanationOfBenefit.item.informationSequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.informationLinkId` as `Equivalent`. |
| ExplanationOfBenefit.item.revenue | revenue | is equivalent to | ExplanationOfBenefit.item.revenue | ExplanationOfBenefit.item.revenue | Element `ExplanationOfBenefit.item.revenue` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.revenue` as `Equivalent`. |
| ExplanationOfBenefit.item.category | category | is equivalent to | ExplanationOfBenefit.item.category | ExplanationOfBenefit.item.category | Element `ExplanationOfBenefit.item.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.category` as `Equivalent`. Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage. |
| ExplanationOfBenefit.item.productOrService | productOrService | is equivalent to | ExplanationOfBenefit.item.service | ExplanationOfBenefit.item.service | Element `ExplanationOfBenefit.item.productOrService` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.service` as `Equivalent`. If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'. |
| ExplanationOfBenefit.item.modifier | modifier | is equivalent to | ExplanationOfBenefit.item.modifier | ExplanationOfBenefit.item.modifier | Element `ExplanationOfBenefit.item.modifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.modifier` as `Equivalent`. For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours. |
| ExplanationOfBenefit.item.programCode | programCode | is equivalent to | ExplanationOfBenefit.item.programCode | ExplanationOfBenefit.item.programCode | Element `ExplanationOfBenefit.item.programCode` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.programCode` as `Equivalent`. For example: Neonatal program, child dental program or drug users recovery program. |
| ExplanationOfBenefit.item.serviced[x] | serviced[x] | maps to wider concept | ExplanationOfBenefit.item.serviced[x] | ExplanationOfBenefit.item.serviced[x] | Element `ExplanationOfBenefit.item.serviced[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.serviced[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.item.serviced[x]` do not cover the following types: Period. The mappings for `ExplanationOfBenefit.item.serviced[x]` do not cover the following types based on type expansion: end, start. The target context `ExplanationOfBenefit.item.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`. |
| ExplanationOfBenefit.item.location[x] | location[x] | maps to wider concept | ExplanationOfBenefit.item.location[x] | ExplanationOfBenefit.item.location[x] | Element `ExplanationOfBenefit.item.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.location[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.item.location[x]` do not cover the following types: Address. The target context `ExplanationOfBenefit.item.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.item.location[x]` with unmapped reference targets: Location. Source element `ExplanationOfBenefit.item.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.item.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. |
| ExplanationOfBenefit.item.quantity | quantity | is equivalent to | ExplanationOfBenefit.item.quantity | ExplanationOfBenefit.item.quantity | Element `ExplanationOfBenefit.item.quantity` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.quantity` as `Equivalent`. |
| ExplanationOfBenefit.item.unitPrice | unitPrice | is equivalent to | ExplanationOfBenefit.item.unitPrice | ExplanationOfBenefit.item.unitPrice | Element `ExplanationOfBenefit.item.unitPrice` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.unitPrice` as `Equivalent`. |
| ExplanationOfBenefit.item.factor | factor | is equivalent to | ExplanationOfBenefit.item.factor | ExplanationOfBenefit.item.factor | Element `ExplanationOfBenefit.item.factor` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.factor` as `Equivalent`. To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). |
| ExplanationOfBenefit.item.net | net | is equivalent to | ExplanationOfBenefit.item.net | ExplanationOfBenefit.item.net | Element `ExplanationOfBenefit.item.net` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.net` as `Equivalent`. For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. |
| ExplanationOfBenefit.item.udi | udi | maps to wider concept | ExplanationOfBenefit.item.udi | ExplanationOfBenefit.item.udi | Element `ExplanationOfBenefit.item.udi` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.udi` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.item.udi` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.item.udi` with unmapped reference targets: Device. |
| ExplanationOfBenefit.item.bodySite | bodySite | is equivalent to | ExplanationOfBenefit.item.bodySite | ExplanationOfBenefit.item.bodySite | Element `ExplanationOfBenefit.item.bodySite` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.bodySite` as `Equivalent`. For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed. |
| ExplanationOfBenefit.item.subSite | subSite | is equivalent to | ExplanationOfBenefit.item.subSite | ExplanationOfBenefit.item.subSite | Element `ExplanationOfBenefit.item.subSite` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.subSite` as `Equivalent`. |
| ExplanationOfBenefit.item.encounter | encounter | maps to wider concept | ExplanationOfBenefit.item.encounter | ExplanationOfBenefit.item.encounter | Element `ExplanationOfBenefit.item.encounter` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.encounter` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.item.encounter` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.item.encounter` with unmapped reference targets: Encounter. |
| ExplanationOfBenefit.item.noteNumber | noteNumber | is equivalent to | ExplanationOfBenefit.item.noteNumber | ExplanationOfBenefit.item.noteNumber | Element `ExplanationOfBenefit.item.noteNumber` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.noteNumber` as `Equivalent`. |
| ExplanationOfBenefit.item.adjudication | adjudication | maps to wider concept | ExplanationOfBenefit.item.adjudication | ExplanationOfBenefit.item.adjudication | Element `ExplanationOfBenefit.item.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication` as `Equivalent`. |
| ExplanationOfBenefit.item.adjudication.category | category | is equivalent to | ExplanationOfBenefit.item.adjudication.category | ExplanationOfBenefit.item.adjudication.category | Element `ExplanationOfBenefit.item.adjudication.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.category` as `Equivalent`. For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc. |
| ExplanationOfBenefit.item.adjudication.reason | reason | is equivalent to | ExplanationOfBenefit.item.adjudication.reason | ExplanationOfBenefit.item.adjudication.reason | Element `ExplanationOfBenefit.item.adjudication.reason` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.reason` as `Equivalent`. For example, may indicate that the funds for this benefit type have been exhausted. |
| ExplanationOfBenefit.item.adjudication.amount | amount | is equivalent to | ExplanationOfBenefit.item.adjudication.amount | ExplanationOfBenefit.item.adjudication.amount | Element `ExplanationOfBenefit.item.adjudication.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.amount` as `Equivalent`. For example, amount submitted, eligible amount, co-payment, and benefit payable. |
| ExplanationOfBenefit.item.adjudication.value | value | is equivalent to | ExplanationOfBenefit.item.adjudication.value | ExplanationOfBenefit.item.adjudication.value | Element `ExplanationOfBenefit.item.adjudication.value` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.value` as `Equivalent`. For example: eligible percentage or co-payment percentage. |
| ExplanationOfBenefit.item.detail | detail | maps to wider concept | ExplanationOfBenefit.item.detail | ExplanationOfBenefit.item.detail | Element `ExplanationOfBenefit.item.detail` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.sequence | sequence | is equivalent to | ExplanationOfBenefit.item.detail.sequence | ExplanationOfBenefit.item.detail.sequence | Element `ExplanationOfBenefit.item.detail.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.sequence` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.revenue | revenue | is equivalent to | ExplanationOfBenefit.item.detail.revenue | ExplanationOfBenefit.item.detail.revenue | Element `ExplanationOfBenefit.item.detail.revenue` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.revenue` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.category | category | is equivalent to | ExplanationOfBenefit.item.detail.category | ExplanationOfBenefit.item.detail.category | Element `ExplanationOfBenefit.item.detail.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.category` as `Equivalent`. Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage. |
| ExplanationOfBenefit.item.detail.productOrService | productOrService | is equivalent to | ExplanationOfBenefit.item.detail.service | ExplanationOfBenefit.item.detail.service | Element `ExplanationOfBenefit.item.detail.productOrService` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.service` as `Equivalent`. If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'. |
| ExplanationOfBenefit.item.detail.modifier | modifier | is equivalent to | ExplanationOfBenefit.item.detail.modifier | ExplanationOfBenefit.item.detail.modifier | Element `ExplanationOfBenefit.item.detail.modifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.modifier` as `Equivalent`. For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours. |
| ExplanationOfBenefit.item.detail.programCode | programCode | is equivalent to | ExplanationOfBenefit.item.detail.programCode | ExplanationOfBenefit.item.detail.programCode | Element `ExplanationOfBenefit.item.detail.programCode` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.programCode` as `Equivalent`. For example: Neonatal program, child dental program or drug users recovery program. |
| ExplanationOfBenefit.item.detail.quantity | quantity | is equivalent to | ExplanationOfBenefit.item.detail.quantity | ExplanationOfBenefit.item.detail.quantity | Element `ExplanationOfBenefit.item.detail.quantity` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.quantity` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.unitPrice | unitPrice | is equivalent to | ExplanationOfBenefit.item.detail.unitPrice | ExplanationOfBenefit.item.detail.unitPrice | Element `ExplanationOfBenefit.item.detail.unitPrice` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.unitPrice` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.factor | factor | is equivalent to | ExplanationOfBenefit.item.detail.factor | ExplanationOfBenefit.item.detail.factor | Element `ExplanationOfBenefit.item.detail.factor` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.factor` as `Equivalent`. To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). |
| ExplanationOfBenefit.item.detail.net | net | is equivalent to | ExplanationOfBenefit.item.detail.net | ExplanationOfBenefit.item.detail.net | Element `ExplanationOfBenefit.item.detail.net` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.net` as `Equivalent`. For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. |
| ExplanationOfBenefit.item.detail.udi | udi | maps to wider concept | ExplanationOfBenefit.item.detail.udi | ExplanationOfBenefit.item.detail.udi | Element `ExplanationOfBenefit.item.detail.udi` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.udi` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.item.detail.udi` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.item.detail.udi` with unmapped reference targets: Device. |
| ExplanationOfBenefit.item.detail.noteNumber | noteNumber | is equivalent to | ExplanationOfBenefit.item.detail.noteNumber | ExplanationOfBenefit.item.detail.noteNumber | Element `ExplanationOfBenefit.item.detail.noteNumber` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.noteNumber` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.adjudication | adjudication | is equivalent to | ExplanationOfBenefit.item.detail.adjudication | ExplanationOfBenefit.item.detail.adjudication | Element `ExplanationOfBenefit.item.detail.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.adjudication` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.subDetail | subDetail | maps to wider concept | ExplanationOfBenefit.item.detail.subDetail | ExplanationOfBenefit.item.detail.subDetail | Element `ExplanationOfBenefit.item.detail.subDetail` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.subDetail.sequence | sequence | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.sequence | ExplanationOfBenefit.item.detail.subDetail.sequence | Element `ExplanationOfBenefit.item.detail.subDetail.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.sequence` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.subDetail.revenue | revenue | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.revenue | ExplanationOfBenefit.item.detail.subDetail.revenue | Element `ExplanationOfBenefit.item.detail.subDetail.revenue` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.revenue` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.subDetail.category | category | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.category | ExplanationOfBenefit.item.detail.subDetail.category | Element `ExplanationOfBenefit.item.detail.subDetail.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.category` as `Equivalent`. Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage. |
| ExplanationOfBenefit.item.detail.subDetail.productOrService | productOrService | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.service | ExplanationOfBenefit.item.detail.subDetail.service | Element `ExplanationOfBenefit.item.detail.subDetail.productOrService` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.service` as `Equivalent`. If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'. |
| ExplanationOfBenefit.item.detail.subDetail.modifier | modifier | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.modifier | ExplanationOfBenefit.item.detail.subDetail.modifier | Element `ExplanationOfBenefit.item.detail.subDetail.modifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.modifier` as `Equivalent`. For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours. |
| ExplanationOfBenefit.item.detail.subDetail.programCode | programCode | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.programCode | ExplanationOfBenefit.item.detail.subDetail.programCode | Element `ExplanationOfBenefit.item.detail.subDetail.programCode` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.programCode` as `Equivalent`. For example: Neonatal program, child dental program or drug users recovery program. |
| ExplanationOfBenefit.item.detail.subDetail.quantity | quantity | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.quantity | ExplanationOfBenefit.item.detail.subDetail.quantity | Element `ExplanationOfBenefit.item.detail.subDetail.quantity` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.quantity` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.subDetail.unitPrice | unitPrice | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.unitPrice | ExplanationOfBenefit.item.detail.subDetail.unitPrice | Element `ExplanationOfBenefit.item.detail.subDetail.unitPrice` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.unitPrice` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.subDetail.factor | factor | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.factor | ExplanationOfBenefit.item.detail.subDetail.factor | Element `ExplanationOfBenefit.item.detail.subDetail.factor` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.factor` as `Equivalent`. To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). |
| ExplanationOfBenefit.item.detail.subDetail.net | net | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.net | ExplanationOfBenefit.item.detail.subDetail.net | Element `ExplanationOfBenefit.item.detail.subDetail.net` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.net` as `Equivalent`. For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. |
| ExplanationOfBenefit.item.detail.subDetail.udi | udi | maps to wider concept | ExplanationOfBenefit.item.detail.subDetail.udi | ExplanationOfBenefit.item.detail.subDetail.udi | Element `ExplanationOfBenefit.item.detail.subDetail.udi` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.udi` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.item.detail.subDetail.udi` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.item.detail.subDetail.udi` with unmapped reference targets: Device. |
| ExplanationOfBenefit.item.detail.subDetail.noteNumber | noteNumber | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.noteNumber | ExplanationOfBenefit.item.detail.subDetail.noteNumber | Element `ExplanationOfBenefit.item.detail.subDetail.noteNumber` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.noteNumber` as `Equivalent`. |
| ExplanationOfBenefit.item.detail.subDetail.adjudication | adjudication | is equivalent to | ExplanationOfBenefit.item.detail.subDetail.adjudication | ExplanationOfBenefit.item.detail.subDetail.adjudication | Element `ExplanationOfBenefit.item.detail.subDetail.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.adjudication` as `Equivalent`. |
| ExplanationOfBenefit.addItem | addItem | maps to wider concept | ExplanationOfBenefit.addItem | ExplanationOfBenefit.addItem | Element `ExplanationOfBenefit.addItem` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem` as `Equivalent`. |
| ExplanationOfBenefit.addItem.itemSequence | itemSequence | is equivalent to | ExplanationOfBenefit.addItem.sequenceLinkId | ExplanationOfBenefit.addItem.sequenceLinkId | Element `ExplanationOfBenefit.addItem.itemSequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.sequenceLinkId` as `Equivalent`. |
| ExplanationOfBenefit.addItem.productOrService | productOrService | is equivalent to | ExplanationOfBenefit.addItem.service | ExplanationOfBenefit.addItem.service | Element `ExplanationOfBenefit.addItem.productOrService` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.service` as `Equivalent`. If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'. |
| ExplanationOfBenefit.addItem.modifier | modifier | is equivalent to | ExplanationOfBenefit.addItem.modifier | ExplanationOfBenefit.addItem.modifier | Element `ExplanationOfBenefit.addItem.modifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.modifier` as `Equivalent`. For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours. |
| ExplanationOfBenefit.addItem.net | net | is equivalent to | ExplanationOfBenefit.addItem.fee | ExplanationOfBenefit.addItem.fee | Element `ExplanationOfBenefit.addItem.net` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.fee` as `Equivalent`. For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. |
| ExplanationOfBenefit.addItem.noteNumber | noteNumber | is equivalent to | ExplanationOfBenefit.addItem.noteNumber | ExplanationOfBenefit.addItem.noteNumber | Element `ExplanationOfBenefit.addItem.noteNumber` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.noteNumber` as `Equivalent`. |
| ExplanationOfBenefit.addItem.adjudication | adjudication | is equivalent to | ExplanationOfBenefit.addItem.adjudication | ExplanationOfBenefit.addItem.adjudication | Element `ExplanationOfBenefit.addItem.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.adjudication` as `Equivalent`. |
| ExplanationOfBenefit.addItem.detail | detail | maps to wider concept | ExplanationOfBenefit.addItem.detail | ExplanationOfBenefit.addItem.detail | Element `ExplanationOfBenefit.addItem.detail` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail` as `Equivalent`. |
| ExplanationOfBenefit.addItem.detail.productOrService | productOrService | is equivalent to | ExplanationOfBenefit.addItem.detail.service | ExplanationOfBenefit.addItem.detail.service | Element `ExplanationOfBenefit.addItem.detail.productOrService` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail.service` as `Equivalent`. If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'. |
| ExplanationOfBenefit.addItem.detail.modifier | modifier | is equivalent to | ExplanationOfBenefit.addItem.detail.modifier | ExplanationOfBenefit.addItem.detail.modifier | Element `ExplanationOfBenefit.addItem.detail.modifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail.modifier` as `Equivalent`. For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours. |
| ExplanationOfBenefit.addItem.detail.net | net | is equivalent to | ExplanationOfBenefit.addItem.detail.fee | ExplanationOfBenefit.addItem.detail.fee | Element `ExplanationOfBenefit.addItem.detail.net` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail.fee` as `Equivalent`. For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. |
| ExplanationOfBenefit.addItem.detail.noteNumber | noteNumber | is equivalent to | ExplanationOfBenefit.addItem.detail.noteNumber | ExplanationOfBenefit.addItem.detail.noteNumber | Element `ExplanationOfBenefit.addItem.detail.noteNumber` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail.noteNumber` as `Equivalent`. |
| ExplanationOfBenefit.addItem.detail.adjudication | adjudication | is equivalent to | ExplanationOfBenefit.addItem.detail.adjudication | ExplanationOfBenefit.addItem.detail.adjudication | Element `ExplanationOfBenefit.addItem.detail.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail.adjudication` as `Equivalent`. |
| ExplanationOfBenefit.total.amount | amount | is related to | ExplanationOfBenefit.totalBenefit | ExplanationOfBenefit.totalBenefit | Element `ExplanationOfBenefit.total.amount` is part of an existing definition because parent element `ExplanationOfBenefit.total` requires a cross-version extension. Element `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalCost` as `SourceIsBroaderThanTarget`. Element `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalBenefit` as `SourceIsBroaderThanTarget`. |
| is related to | ExplanationOfBenefit.totalCost | ExplanationOfBenefit.totalCost | Element `ExplanationOfBenefit.total.amount` is part of an existing definition because parent element `ExplanationOfBenefit.total` requires a cross-version extension. Element `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalCost` as `SourceIsBroaderThanTarget`. Element `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalBenefit` as `SourceIsBroaderThanTarget`. | ||
| ExplanationOfBenefit.payment | payment | maps to wider concept | ExplanationOfBenefit.payment | ExplanationOfBenefit.payment | Element `ExplanationOfBenefit.payment` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment` as `Equivalent`. |
| ExplanationOfBenefit.payment.type | type | is equivalent to | ExplanationOfBenefit.payment.type | ExplanationOfBenefit.payment.type | Element `ExplanationOfBenefit.payment.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.type` as `Equivalent`. |
| ExplanationOfBenefit.payment.adjustment | adjustment | is equivalent to | ExplanationOfBenefit.payment.adjustment | ExplanationOfBenefit.payment.adjustment | Element `ExplanationOfBenefit.payment.adjustment` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.adjustment` as `Equivalent`. Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider. |
| ExplanationOfBenefit.payment.adjustmentReason | adjustmentReason | is equivalent to | ExplanationOfBenefit.payment.adjustmentReason | ExplanationOfBenefit.payment.adjustmentReason | Element `ExplanationOfBenefit.payment.adjustmentReason` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.adjustmentReason` as `Equivalent`. |
| ExplanationOfBenefit.payment.date | date | is equivalent to | ExplanationOfBenefit.payment.date | ExplanationOfBenefit.payment.date | Element `ExplanationOfBenefit.payment.date` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.date` as `Equivalent`. |
| ExplanationOfBenefit.payment.amount | amount | is equivalent to | ExplanationOfBenefit.payment.amount | ExplanationOfBenefit.payment.amount | Element `ExplanationOfBenefit.payment.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.amount` as `Equivalent`. |
| ExplanationOfBenefit.payment.identifier | identifier | maps to wider concept | ExplanationOfBenefit.payment.identifier | ExplanationOfBenefit.payment.identifier | Element `ExplanationOfBenefit.payment.identifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.payment.identifier` do not cover the following types: Identifier. The mappings for `ExplanationOfBenefit.payment.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. For example: EFT number or check number. |
| ExplanationOfBenefit.formCode | formCode | is equivalent to | ExplanationOfBenefit.form | ExplanationOfBenefit.form | Element `ExplanationOfBenefit.formCode` is mapped to FHIR STU3 element `ExplanationOfBenefit.form` as `Equivalent`. May be needed to identify specific jurisdictional forms. |
| ExplanationOfBenefit.form | form | maps to wider concept | ExplanationOfBenefit.form | ExplanationOfBenefit.form | Element `ExplanationOfBenefit.form` is mapped to FHIR STU3 element `ExplanationOfBenefit.form` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.form` do not cover the following types: Attachment. The mappings for `ExplanationOfBenefit.form` do not cover the following types based on type expansion: creation, data, hash, size, title, url. Needed to permit insurers to include the actual form. |
| ExplanationOfBenefit.processNote | processNote | maps to wider concept | ExplanationOfBenefit.processNote | ExplanationOfBenefit.processNote | Element `ExplanationOfBenefit.processNote` is mapped to FHIR STU3 element `ExplanationOfBenefit.processNote` as `Equivalent`. |
| ExplanationOfBenefit.processNote.number | number | is equivalent to | ExplanationOfBenefit.processNote.number | ExplanationOfBenefit.processNote.number | Element `ExplanationOfBenefit.processNote.number` is mapped to FHIR STU3 element `ExplanationOfBenefit.processNote.number` as `Equivalent`. |
| ExplanationOfBenefit.processNote.type | type | is equivalent to | ExplanationOfBenefit.processNote.type | ExplanationOfBenefit.processNote.type | Element `ExplanationOfBenefit.processNote.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.processNote.type` as `SourceIsNarrowerThanTarget`. |
| ExplanationOfBenefit.processNote.text | text | is equivalent to | ExplanationOfBenefit.processNote.text | ExplanationOfBenefit.processNote.text | Element `ExplanationOfBenefit.processNote.text` is mapped to FHIR STU3 element `ExplanationOfBenefit.processNote.text` as `Equivalent`. |
| ExplanationOfBenefit.processNote.language | language | is equivalent to | ExplanationOfBenefit.processNote.language | ExplanationOfBenefit.processNote.language | Element `ExplanationOfBenefit.processNote.language` is mapped to FHIR STU3 element `ExplanationOfBenefit.processNote.language` as `Equivalent`. Only required if the language is different from the resource language. |
| ExplanationOfBenefit.benefitBalance | benefitBalance | maps to wider concept | ExplanationOfBenefit.benefitBalance | ExplanationOfBenefit.benefitBalance | Element `ExplanationOfBenefit.benefitBalance` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance` as `Equivalent`. |
| ExplanationOfBenefit.benefitBalance.category | category | is equivalent to | ExplanationOfBenefit.benefitBalance.category | ExplanationOfBenefit.benefitBalance.category | Element `ExplanationOfBenefit.benefitBalance.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.category` as `Equivalent`. Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage. |
| ExplanationOfBenefit.benefitBalance.excluded | excluded | is equivalent to | ExplanationOfBenefit.benefitBalance.excluded | ExplanationOfBenefit.benefitBalance.excluded | Element `ExplanationOfBenefit.benefitBalance.excluded` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.excluded` as `Equivalent`. |
| ExplanationOfBenefit.benefitBalance.name | name | is equivalent to | ExplanationOfBenefit.benefitBalance.name | ExplanationOfBenefit.benefitBalance.name | Element `ExplanationOfBenefit.benefitBalance.name` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.name` as `Equivalent`. For example: MED01, or DENT2. |
| ExplanationOfBenefit.benefitBalance.description | description | is equivalent to | ExplanationOfBenefit.benefitBalance.description | ExplanationOfBenefit.benefitBalance.description | Element `ExplanationOfBenefit.benefitBalance.description` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.description` as `Equivalent`. For example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'. |
| ExplanationOfBenefit.benefitBalance.network | network | is equivalent to | ExplanationOfBenefit.benefitBalance.network | ExplanationOfBenefit.benefitBalance.network | Element `ExplanationOfBenefit.benefitBalance.network` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.network` as `Equivalent`. |
| ExplanationOfBenefit.benefitBalance.unit | unit | is equivalent to | ExplanationOfBenefit.benefitBalance.unit | ExplanationOfBenefit.benefitBalance.unit | Element `ExplanationOfBenefit.benefitBalance.unit` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.unit` as `Equivalent`. |
| ExplanationOfBenefit.benefitBalance.term | term | is equivalent to | ExplanationOfBenefit.benefitBalance.term | ExplanationOfBenefit.benefitBalance.term | Element `ExplanationOfBenefit.benefitBalance.term` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.term` as `Equivalent`. |
| ExplanationOfBenefit.benefitBalance.financial | financial | maps to wider concept | ExplanationOfBenefit.benefitBalance.financial | ExplanationOfBenefit.benefitBalance.financial | Element `ExplanationOfBenefit.benefitBalance.financial` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.financial` as `Equivalent`. |
| ExplanationOfBenefit.benefitBalance.financial.type | type | is equivalent to | ExplanationOfBenefit.benefitBalance.financial.type | ExplanationOfBenefit.benefitBalance.financial.type | Element `ExplanationOfBenefit.benefitBalance.financial.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.financial.type` as `Equivalent`. For example: deductible, visits, benefit amount. |
| ExplanationOfBenefit.benefitBalance.financial.allowed[x] | allowed[x] | is equivalent to | ExplanationOfBenefit.benefitBalance.financial.allowed[x] | ExplanationOfBenefit.benefitBalance.financial.allowed[x] | Element `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` as `Equivalent`. The target context `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.benefitBalance.financial`. |
| ExplanationOfBenefit.benefitBalance.financial.used[x] | used[x] | is equivalent to | ExplanationOfBenefit.benefitBalance.financial.used[x] | ExplanationOfBenefit.benefitBalance.financial.used[x] | Element `ExplanationOfBenefit.benefitBalance.financial.used[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.financial.used[x]` as `Equivalent`. The target context `ExplanationOfBenefit.benefitBalance.financial.used[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.benefitBalance.financial`. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: meta additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.meta (meta) | is equivalent to | Extension (R4B: meta additional types) | Element `ExplanationOfBenefit.meta` is mapped to FHIR STU3 element `ExplanationOfBenefit.meta` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.meta` do not cover the following types: Meta. The mappings for `ExplanationOfBenefit.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId. |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: text additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.text (text) | is equivalent to | Extension (R4B: text additional types) | Element `ExplanationOfBenefit.text` is mapped to FHIR STU3 element `ExplanationOfBenefit.text` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.text` do not cover the following types: Narrative. The mappings for `ExplanationOfBenefit.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Business Identifier for the resource additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.identifier (identifier) | is equivalent to | Extension (R4B: Business Identifier for the resource additional types) | Element `ExplanationOfBenefit.identifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.identifier` do not cover the following types: Identifier. The mappings for `ExplanationOfBenefit.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. |
Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: claim | preauthorization | predetermination (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.use (use) | is equivalent to | Extension (R4B: claim | preauthorization | predetermination (new)) | Element `ExplanationOfBenefit.use` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.use` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Relevant time frame for the claim additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.billablePeriod (billablePeriod) | is equivalent to | Extension (R4B: Relevant time frame for the claim additional types) | Element `ExplanationOfBenefit.billablePeriod` is mapped to FHIR STU3 element `ExplanationOfBenefit.billablePeriod` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.billablePeriod` do not cover the following types: Period. The mappings for `ExplanationOfBenefit.billablePeriod` do not cover the following types based on type expansion: end, start. Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified. |
Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Desired processing urgency (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.priority (priority) | is equivalent to | Extension (R4B: Desired processing urgency (new)) | Element `ExplanationOfBenefit.priority` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.priority` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request. |
Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: For whom to reserve funds (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.fundsReserveRequested (fundsReserveRequested) | is equivalent to | Extension (R4B: For whom to reserve funds (new)) | Element `ExplanationOfBenefit.fundsReserveRequested` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.fundsReserveRequested` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This field is only used for preauthorizations. |
Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Funds reserved status (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.fundsReserve (fundsReserve) | is equivalent to | Extension (R4B: Funds reserved status (new)) | Element `ExplanationOfBenefit.fundsReserve` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.fundsReserve` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none. |
Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: File or case reference additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.related.reference (reference) | is equivalent to | Extension (R4B: File or case reference additional types) | Element `ExplanationOfBenefit.related.reference` is mapped to FHIR STU3 element `ExplanationOfBenefit.related.reference` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.related.reference` do not cover the following types: Identifier. The mappings for `ExplanationOfBenefit.related.reference` do not cover the following types based on type expansion: assigner, period, system, type, use, value. For example, Property/Casualty insurer claim number or Workers Compensation case number. |
Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: queued | complete | error | partialversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.outcome (outcome) | is equivalent to | Extension (R4B: queued | complete | error | partial) | Element `ExplanationOfBenefit.outcome` is mapped to FHIR STU3 element `ExplanationOfBenefit.outcome` as `RelatedTo`. The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete). |
Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Preauthorization reference (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.preAuthRef (preAuthRef) | is equivalent to | Extension (R4B: Preauthorization reference (new)) | Element `ExplanationOfBenefit.preAuthRef` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.preAuthRef` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This value is only present on preauthorization adjudications. |
Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Preauthorization in-effect period (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.preAuthRefPeriod (preAuthRefPeriod) | is equivalent to | Extension (R4B: Preauthorization in-effect period (new)) | Element `ExplanationOfBenefit.preAuthRefPeriod` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.preAuthRefPeriod` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This value is only present on preauthorization adjudications. |
Group 14 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: timing additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.supportingInfo.timing[x] (timing[x]) | maps to wider concept | Extension (R4B: timing additional types) | Element `ExplanationOfBenefit.supportingInfo.timing[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.timing[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.supportingInfo.timing[x]` do not cover the following types: Period. The mappings for `ExplanationOfBenefit.supportingInfo.timing[x]` do not cover the following types based on type expansion: end, start. The target context `ExplanationOfBenefit.information.timing[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.information`. |
Group 15 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Data to be provided additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.supportingInfo.value[x] (value[x]) | maps to wider concept | Extension (R4B: Data to be provided additional types) | Element `ExplanationOfBenefit.supportingInfo.value[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.value[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.supportingInfo.value[x]` do not cover the following types: Attachment, boolean. The target context `ExplanationOfBenefit.information.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.information`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.supportingInfo.value[x]` with unmapped reference targets: Resource. Source element `ExplanationOfBenefit.supportingInfo.value[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.information.value[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident. |
Group 16 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to http://hl7.org/fhir/StructureDefinition/alternate-reference
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.supportingInfo.value[x] (value[x]) | maps to wider concept | Extension | Element `ExplanationOfBenefit.supportingInfo.value[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.value[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.supportingInfo.value[x]` do not cover the following types: Attachment, boolean. The target context `ExplanationOfBenefit.information.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.information`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.supportingInfo.value[x]` with unmapped reference targets: Resource. Source element `ExplanationOfBenefit.supportingInfo.value[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.information.value[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident. |
| ExplanationOfBenefit.accident.location[x] (location[x]) | is equivalent to | Extension | Element `ExplanationOfBenefit.accident.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident.location[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types: Address. The mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types based on type expansion: city, country, display, district, identifier, line, period, postalCode, reference, state, text, type, use. The target context `ExplanationOfBenefit.accident.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.accident`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.accident.location[x]` with unmapped reference targets: Location. Source element `ExplanationOfBenefit.accident.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.accident.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. |
| ExplanationOfBenefit.item.location[x] (location[x]) | is equivalent to | Extension | Element `ExplanationOfBenefit.item.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.location[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.item.location[x]` do not cover the following types: Address. The target context `ExplanationOfBenefit.item.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.item.location[x]` with unmapped reference targets: Location. Source element `ExplanationOfBenefit.item.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.item.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. |
Group 17 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Present on admission (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.diagnosis.onAdmission (onAdmission) | is equivalent to | Extension (R4B: Present on admission (new)) | Element `ExplanationOfBenefit.diagnosis.onAdmission` has a context of ExplanationOfBenefit.diagnosis based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.diagnosis.onAdmission` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 18 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Category of Procedure (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.procedure.type (type) | is equivalent to | Extension (R4B: Category of Procedure (new)) | Element `ExplanationOfBenefit.procedure.type` has a context of ExplanationOfBenefit.procedure based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.procedure.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 19 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Unique device identifier (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.procedure.udi (udi) | is equivalent to | Extension (R4B: Unique device identifier (new)) | Element `ExplanationOfBenefit.procedure.udi` has a context of ExplanationOfBenefit.procedure based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.procedure.udi` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 20 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Coverage to be used for adjudication (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.insurance.focal (focal) | is equivalent to | Extension (R4B: Coverage to be used for adjudication (new)) | Element `ExplanationOfBenefit.insurance.focal` has a context of ExplanationOfBenefit.insurance based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.insurance.focal` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies. |
Group 21 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Where the event occurred additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.accident.location[x] (location[x]) | is equivalent to | Extension (R4B: Where the event occurred additional types) | Element `ExplanationOfBenefit.accident.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident.location[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types: Address. The mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types based on type expansion: city, country, display, district, identifier, line, period, postalCode, reference, state, text, type, use. The target context `ExplanationOfBenefit.accident.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.accident`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.accident.location[x]` with unmapped reference targets: Location. Source element `ExplanationOfBenefit.accident.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.accident.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. |
Group 22 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Date or dates of service or product delivery additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.item.serviced[x] (serviced[x]) | is equivalent to | Extension (R4B: Date or dates of service or product delivery additional types) | Element `ExplanationOfBenefit.item.serviced[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.serviced[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.item.serviced[x]` do not cover the following types: Period. The mappings for `ExplanationOfBenefit.item.serviced[x]` do not cover the following types based on type expansion: end, start. The target context `ExplanationOfBenefit.item.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`. |
Group 23 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Place of service or where product was supplied additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.item.location[x] (location[x]) | is equivalent to | Extension (R4B: Place of service or where product was supplied additional types) | Element `ExplanationOfBenefit.item.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.location[x]` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.item.location[x]` do not cover the following types: Address. The target context `ExplanationOfBenefit.item.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.item.location[x]` with unmapped reference targets: Location. Source element `ExplanationOfBenefit.item.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.item.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. |
Group 24 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: adjudicationversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.item.adjudication (adjudication) | is equivalent to | Extension (R4B: adjudication) | Element `ExplanationOfBenefit.item.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication` as `Equivalent`. |
| ExplanationOfBenefit.item.adjudication.category (category) | is equivalent to | Extension.extension:category (R4B: Type of adjudication information) | Element `ExplanationOfBenefit.item.adjudication.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.category` as `Equivalent`. For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc. |
| ExplanationOfBenefit.item.adjudication.reason (reason) | is equivalent to | Extension.extension:reason (R4B: Explanation of adjudication outcome) | Element `ExplanationOfBenefit.item.adjudication.reason` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.reason` as `Equivalent`. For example, may indicate that the funds for this benefit type have been exhausted. |
| ExplanationOfBenefit.item.adjudication.amount (amount) | is equivalent to | Extension.extension:amount (R4B: amount) | Element `ExplanationOfBenefit.item.adjudication.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.amount` as `Equivalent`. For example, amount submitted, eligible amount, co-payment, and benefit payable. |
| ExplanationOfBenefit.item.adjudication.value (value) | is equivalent to | Extension.extension:value (R4B: Non-monitary value) | Element `ExplanationOfBenefit.item.adjudication.value` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.value` as `Equivalent`. For example: eligible percentage or co-payment percentage. |
| ExplanationOfBenefit.addItem.detail.subDetail.adjudication (adjudication) | is equivalent to | Extension.extension:adjudication | Element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension. Element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 25 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Detail sequence number (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.detailSequence (detailSequence) | is equivalent to | Extension (R4B: Detail sequence number (new)) | Element `ExplanationOfBenefit.addItem.detailSequence` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detailSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 26 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Subdetail sequence number (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.subDetailSequence (subDetailSequence) | is equivalent to | Extension (R4B: Subdetail sequence number (new)) | Element `ExplanationOfBenefit.addItem.subDetailSequence` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.subDetailSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 27 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Authorized providers (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.provider (provider) | is equivalent to | Extension (R4B: Authorized providers (new)) | Element `ExplanationOfBenefit.addItem.provider` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 28 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Program the product or service is provided under (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.programCode (programCode) | is equivalent to | Extension (R4B: Program the product or service is provided under (new)) | Element `ExplanationOfBenefit.addItem.programCode` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.programCode` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example: Neonatal program, child dental program or drug users recovery program. |
Group 29 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Date or dates of service or product delivery (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.serviced[x] (serviced[x]) | is equivalent to | Extension (R4B: Date or dates of service or product delivery (new)) | Element `ExplanationOfBenefit.addItem.serviced[x]` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.serviced[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 30 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Place of service or where product was supplied (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.location[x] (location[x]) | is equivalent to | Extension (R4B: Place of service or where product was supplied (new)) | Element `ExplanationOfBenefit.addItem.location[x]` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.location[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 31 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Count of products or services (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.quantity (quantity) | is equivalent to | Extension (R4B: Count of products or services (new)) | Element `ExplanationOfBenefit.addItem.quantity` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 32 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Fee, charge or cost per item (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.unitPrice (unitPrice) | is equivalent to | Extension (R4B: Fee, charge or cost per item (new)) | Element `ExplanationOfBenefit.addItem.unitPrice` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 33 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Price scaling factor (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.factor (factor) | is equivalent to | Extension (R4B: Price scaling factor (new)) | Element `ExplanationOfBenefit.addItem.factor` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). |
Group 34 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Anatomical location (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.bodySite (bodySite) | is equivalent to | Extension (R4B: Anatomical location (new)) | Element `ExplanationOfBenefit.addItem.bodySite` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.bodySite` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example, providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed. |
Group 35 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Anatomical sub-location (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.subSite (subSite) | is equivalent to | Extension (R4B: Anatomical sub-location (new)) | Element `ExplanationOfBenefit.addItem.subSite` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.subSite` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 36 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Count of products or services (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.detail.quantity (quantity) | is equivalent to | Extension (R4B: Count of products or services (new)) | Element `ExplanationOfBenefit.addItem.detail.quantity` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 37 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Fee, charge or cost per item (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.detail.unitPrice (unitPrice) | is equivalent to | Extension (R4B: Fee, charge or cost per item (new)) | Element `ExplanationOfBenefit.addItem.detail.unitPrice` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 38 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Price scaling factor (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.detail.factor (factor) | is equivalent to | Extension (R4B: Price scaling factor (new)) | Element `ExplanationOfBenefit.addItem.detail.factor` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). |
Group 39 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Insurer added line items (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.addItem.detail.subDetail (subDetail) | is equivalent to | Extension (R4B: Insurer added line items (new)) | Element `ExplanationOfBenefit.addItem.detail.subDetail` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.subDetail` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
| ExplanationOfBenefit.addItem.detail.subDetail.productOrService (productOrService) | is equivalent to | Extension.extension:productOrService (R4B: Billing, service, product, or drug code (new)) | Element `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension. Element `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'. |
| ExplanationOfBenefit.addItem.detail.subDetail.modifier (modifier) | is equivalent to | Extension.extension:modifier (R4B: Service/Product billing modifiers (new)) | Element `ExplanationOfBenefit.addItem.detail.subDetail.modifier` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension. Element `ExplanationOfBenefit.addItem.detail.subDetail.modifier` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.subDetail.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours. |
| ExplanationOfBenefit.addItem.detail.subDetail.quantity (quantity) | is equivalent to | Extension.extension:quantity (R4B: Count of products or services (new)) | Element `ExplanationOfBenefit.addItem.detail.subDetail.quantity` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension. Element `ExplanationOfBenefit.addItem.detail.subDetail.quantity` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.subDetail.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
| ExplanationOfBenefit.addItem.detail.subDetail.unitPrice (unitPrice) | is equivalent to | Extension.extension:unitPrice (R4B: Fee, charge or cost per item (new)) | Element `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension. Element `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
| ExplanationOfBenefit.addItem.detail.subDetail.factor (factor) | is equivalent to | Extension.extension:factor (R4B: Price scaling factor (new)) | Element `ExplanationOfBenefit.addItem.detail.subDetail.factor` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension. Element `ExplanationOfBenefit.addItem.detail.subDetail.factor` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.subDetail.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). |
| ExplanationOfBenefit.addItem.detail.subDetail.net (net) | is equivalent to | Extension.extension:net (R4B: Total item cost (new)) | Element `ExplanationOfBenefit.addItem.detail.subDetail.net` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension. Element `ExplanationOfBenefit.addItem.detail.subDetail.net` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.subDetail.net` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. |
| ExplanationOfBenefit.addItem.detail.subDetail.noteNumber (noteNumber) | is equivalent to | Extension.extension:noteNumber (R4B: Applicable note numbers (new)) | Element `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension. Element `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
| ExplanationOfBenefit.addItem.detail.subDetail.adjudication (adjudication) | is equivalent to | Extension.extension:adjudication (R4B: Added items adjudication (new)) | Element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension. Element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 40 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Adjudication totals (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.total (total) | is equivalent to | Extension (R4B: Adjudication totals (new)) | Element `ExplanationOfBenefit.total` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.total` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Totals for amounts submitted, co-pays, benefits payable etc. |
| ExplanationOfBenefit.total.category (category) | is equivalent to | Extension.extension:category (R4B: Type of adjudication information (new)) | Element `ExplanationOfBenefit.total.category` is part of an existing definition because parent element `ExplanationOfBenefit.total` requires a cross-version extension. Element `ExplanationOfBenefit.total.category` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.total.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc. |
| ExplanationOfBenefit.total.amount (amount) | maps to wider concept | Extension.extension:amount (R4B: Financial total for the category) | Element `ExplanationOfBenefit.total.amount` is part of an existing definition because parent element `ExplanationOfBenefit.total` requires a cross-version extension. Element `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalCost` as `SourceIsBroaderThanTarget`. Element `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalBenefit` as `SourceIsBroaderThanTarget`. |
Group 41 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Business identifier for the payment additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.payment.identifier (identifier) | is equivalent to | Extension (R4B: Business identifier for the payment additional types) | Element `ExplanationOfBenefit.payment.identifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.payment.identifier` do not cover the following types: Identifier. The mappings for `ExplanationOfBenefit.payment.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. For example: EFT number or check number. |
Group 42 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: Printed reference or actual form additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.form (form) | is equivalent to | Extension (R4B: Printed reference or actual form additional types) | Element `ExplanationOfBenefit.form` is mapped to FHIR STU3 element `ExplanationOfBenefit.form` as `SourceIsBroaderThanTarget`. The mappings for `ExplanationOfBenefit.form` do not cover the following types: Attachment. The mappings for `ExplanationOfBenefit.form` do not cover the following types based on type expansion: creation, data, hash, size, title, url. Needed to permit insurers to include the actual form. |
Group 43 Mapping from http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit|4.3.0 to R4B: When the benefits are applicable (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ExplanationOfBenefit.benefitPeriod (benefitPeriod) | is equivalent to | Extension (R4B: When the benefits are applicable (new)) | Element `ExplanationOfBenefit.benefitPeriod` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`. Element `ExplanationOfBenefit.benefitPeriod` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Not applicable when use=claim. |
{
"resourceType": "ConceptMap",
"id": "R4B-ExplanationOfBenefit-element-map-to-R3",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
}
]
}
}
],
"url": "http://hl7.org/fhir/uv/xver/ConceptMap/R4B-ExplanationOfBenefit-element-map-to-R3",
"version": "0.1.0",
"name": "R4BExplanationOfBenefitElementMapToR3",
"title": "Cross-version mapping for FHIR R4B ExplanationOfBenefit to FHIR STU3 ExplanationOfBenefit",
"status": "active",
"experimental": false,
"date": "2026-03-17T16:04:27.8312488-05:00",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "This ConceptMap represents cross-version mappings for elements from a FHIR R4B ExplanationOfBenefit to FHIR STU3.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"sourceUri": "http://hl7.org/fhir/4.3",
"targetUri": "http://hl7.org/fhir/3.0",
"group": [
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"targetVersion": "3.0.2",
"element": [
{
"code": "ExplanationOfBenefit.meta",
"display": "meta",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.meta",
"display": "ExplanationOfBenefit.meta",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.meta` is mapped to FHIR STU3 element `ExplanationOfBenefit.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.meta` do not cover the following types: Meta.\nThe mappings for `ExplanationOfBenefit.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId."
}
]
},
{
"code": "ExplanationOfBenefit.implicitRules",
"display": "implicitRules",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.implicitRules",
"display": "ExplanationOfBenefit.implicitRules",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.implicitRules` is mapped to FHIR STU3 element `ExplanationOfBenefit.implicitRules` as `Equivalent`.\nAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."
}
]
},
{
"code": "ExplanationOfBenefit.language",
"display": "language",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.language",
"display": "ExplanationOfBenefit.language",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.language` is mapped to FHIR STU3 element `ExplanationOfBenefit.language` as `Equivalent`.\nLanguage is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."
}
]
},
{
"code": "ExplanationOfBenefit.text",
"display": "text",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.text",
"display": "ExplanationOfBenefit.text",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.text` is mapped to FHIR STU3 element `ExplanationOfBenefit.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.text` do not cover the following types: Narrative.\nThe mappings for `ExplanationOfBenefit.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later."
}
]
},
{
"code": "ExplanationOfBenefit.contained",
"display": "contained",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.contained",
"display": "ExplanationOfBenefit.contained",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.contained` is mapped to FHIR STU3 element `ExplanationOfBenefit.contained` as `SourceIsBroaderThanTarget`.\nThis should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."
}
]
},
{
"code": "ExplanationOfBenefit.identifier",
"display": "identifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.identifier",
"display": "ExplanationOfBenefit.identifier",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.identifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.identifier` do not cover the following types: Identifier.\nThe mappings for `ExplanationOfBenefit.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
}
]
},
{
"code": "ExplanationOfBenefit.status",
"display": "status",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.status",
"display": "ExplanationOfBenefit.status",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.status` is mapped to FHIR STU3 element `ExplanationOfBenefit.status` as `Equivalent`.\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
}
]
},
{
"code": "ExplanationOfBenefit.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.type",
"display": "ExplanationOfBenefit.type",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.type` as `Equivalent`.\nThe majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements."
}
]
},
{
"code": "ExplanationOfBenefit.subType",
"display": "subType",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.subType",
"display": "ExplanationOfBenefit.subType",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.subType` is mapped to FHIR STU3 element `ExplanationOfBenefit.subType` as `SourceIsNarrowerThanTarget`.\nThis may contain the local bill type codes such as the US UB-04 bill type code."
}
]
},
{
"code": "ExplanationOfBenefit.patient",
"display": "patient",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.patient",
"display": "ExplanationOfBenefit.patient",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.patient` is mapped to FHIR STU3 element `ExplanationOfBenefit.patient` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.patient` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.patient` with unmapped reference targets: Patient."
}
]
},
{
"code": "ExplanationOfBenefit.billablePeriod",
"display": "billablePeriod",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.billablePeriod",
"display": "ExplanationOfBenefit.billablePeriod",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.billablePeriod` is mapped to FHIR STU3 element `ExplanationOfBenefit.billablePeriod` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.billablePeriod` do not cover the following types: Period.\nThe mappings for `ExplanationOfBenefit.billablePeriod` do not cover the following types based on type expansion: end, start.\nTypically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified."
}
]
},
{
"code": "ExplanationOfBenefit.created",
"display": "created",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.created",
"display": "ExplanationOfBenefit.created",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.created` is mapped to FHIR STU3 element `ExplanationOfBenefit.created` as `Equivalent`.\nThis field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date."
}
]
},
{
"code": "ExplanationOfBenefit.enterer",
"display": "enterer",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.enterer",
"display": "ExplanationOfBenefit.enterer",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.enterer` is mapped to FHIR STU3 element `ExplanationOfBenefit.enterer` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.enterer` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.enterer` with unmapped reference targets: Practitioner, PractitionerRole."
}
]
},
{
"code": "ExplanationOfBenefit.insurer",
"display": "insurer",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.insurer",
"display": "ExplanationOfBenefit.insurer",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.insurer` is mapped to FHIR STU3 element `ExplanationOfBenefit.insurer` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.insurer` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.insurer` with unmapped reference targets: Organization."
}
]
},
{
"code": "ExplanationOfBenefit.provider",
"display": "provider",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "relatedto"
}
],
"code": "ExplanationOfBenefit.organization",
"display": "ExplanationOfBenefit.organization",
"equivalence": "relatedto",
"comment": "Element `ExplanationOfBenefit.provider` is mapped to FHIR STU3 element `ExplanationOfBenefit.provider` as `SourceIsBroaderThanTarget`.\nElement `ExplanationOfBenefit.provider` is mapped to FHIR STU3 element `ExplanationOfBenefit.organization` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.provider` with unmapped reference targets: Organization, Practitioner, PractitionerRole.\nTypically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below."
},
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "relatedto"
}
],
"code": "ExplanationOfBenefit.provider",
"display": "ExplanationOfBenefit.provider",
"equivalence": "relatedto",
"comment": "Element `ExplanationOfBenefit.provider` is mapped to FHIR STU3 element `ExplanationOfBenefit.provider` as `SourceIsBroaderThanTarget`.\nElement `ExplanationOfBenefit.provider` is mapped to FHIR STU3 element `ExplanationOfBenefit.organization` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.provider` with unmapped reference targets: Organization, Practitioner, PractitionerRole.\nTypically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below."
}
]
},
{
"code": "ExplanationOfBenefit.related",
"display": "related",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.related",
"display": "ExplanationOfBenefit.related",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.related` is mapped to FHIR STU3 element `ExplanationOfBenefit.related` as `Equivalent`.\nFor example, for the original treatment and follow-up exams."
}
]
},
{
"code": "ExplanationOfBenefit.related.claim",
"display": "claim",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.related.claim",
"display": "ExplanationOfBenefit.related.claim",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.related.claim` is mapped to FHIR STU3 element `ExplanationOfBenefit.related.claim` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.related.claim` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.related.claim` with unmapped reference targets: Claim."
}
]
},
{
"code": "ExplanationOfBenefit.related.relationship",
"display": "relationship",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.related.relationship",
"display": "ExplanationOfBenefit.related.relationship",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.related.relationship` is mapped to FHIR STU3 element `ExplanationOfBenefit.related.relationship` as `Equivalent`.\nFor example, prior claim or umbrella."
}
]
},
{
"code": "ExplanationOfBenefit.related.reference",
"display": "reference",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.related.reference",
"display": "ExplanationOfBenefit.related.reference",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.related.reference` is mapped to FHIR STU3 element `ExplanationOfBenefit.related.reference` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.related.reference` do not cover the following types: Identifier.\nThe mappings for `ExplanationOfBenefit.related.reference` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nFor example, Property/Casualty insurer claim number or Workers Compensation case number."
}
]
},
{
"code": "ExplanationOfBenefit.prescription",
"display": "prescription",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.prescription",
"display": "ExplanationOfBenefit.prescription",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.prescription` is mapped to FHIR STU3 element `ExplanationOfBenefit.prescription` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.prescription` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.prescription` with unmapped reference targets: MedicationRequest, VisionPrescription."
}
]
},
{
"code": "ExplanationOfBenefit.originalPrescription",
"display": "originalPrescription",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.originalPrescription",
"display": "ExplanationOfBenefit.originalPrescription",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.originalPrescription` is mapped to FHIR STU3 element `ExplanationOfBenefit.originalPrescription` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.originalPrescription` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.originalPrescription` with unmapped reference targets: MedicationRequest.\nFor example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'."
}
]
},
{
"code": "ExplanationOfBenefit.payee",
"display": "payee",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.payee",
"display": "ExplanationOfBenefit.payee",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.payee` is mapped to FHIR STU3 element `ExplanationOfBenefit.payee` as `Equivalent`.\nOften providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead."
}
]
},
{
"code": "ExplanationOfBenefit.payee.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.payee.type",
"display": "ExplanationOfBenefit.payee.type",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.payee.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.payee.type` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.payee.party",
"display": "party",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.payee.party",
"display": "ExplanationOfBenefit.payee.party",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.payee.party` is mapped to FHIR STU3 element `ExplanationOfBenefit.payee.party` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.payee.party` with unmapped reference targets: Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.\nNot required if the payee is 'subscriber' or 'provider'."
}
]
},
{
"code": "ExplanationOfBenefit.referral",
"display": "referral",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.referral",
"display": "ExplanationOfBenefit.referral",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.referral` is mapped to FHIR STU3 element `ExplanationOfBenefit.referral` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.referral` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.referral` with unmapped reference targets: ServiceRequest.\nThe referral resource which lists the date, practitioner, reason and other supporting information."
}
]
},
{
"code": "ExplanationOfBenefit.facility",
"display": "facility",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.facility",
"display": "ExplanationOfBenefit.facility",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.facility` is mapped to FHIR STU3 element `ExplanationOfBenefit.facility` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.facility` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.facility` with unmapped reference targets: Location."
}
]
},
{
"code": "ExplanationOfBenefit.claim",
"display": "claim",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.claim",
"display": "ExplanationOfBenefit.claim",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.claim` is mapped to FHIR STU3 element `ExplanationOfBenefit.claim` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.claim` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.claim` with unmapped reference targets: Claim."
}
]
},
{
"code": "ExplanationOfBenefit.claimResponse",
"display": "claimResponse",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.claimResponse",
"display": "ExplanationOfBenefit.claimResponse",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.claimResponse` is mapped to FHIR STU3 element `ExplanationOfBenefit.claimResponse` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.claimResponse` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.claimResponse` with unmapped reference targets: ClaimResponse."
}
]
},
{
"code": "ExplanationOfBenefit.outcome",
"display": "outcome",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.outcome",
"display": "ExplanationOfBenefit.outcome",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.outcome` is mapped to FHIR STU3 element `ExplanationOfBenefit.outcome` as `RelatedTo`.\nThe resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete)."
}
]
},
{
"code": "ExplanationOfBenefit.disposition",
"display": "disposition",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.disposition",
"display": "ExplanationOfBenefit.disposition",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.disposition` is mapped to FHIR STU3 element `ExplanationOfBenefit.disposition` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.careTeam",
"display": "careTeam",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.careTeam",
"display": "ExplanationOfBenefit.careTeam",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.careTeam` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.careTeam.sequence",
"display": "sequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.careTeam.sequence",
"display": "ExplanationOfBenefit.careTeam.sequence",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.careTeam.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam.sequence` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.careTeam.provider",
"display": "provider",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.careTeam.provider",
"display": "ExplanationOfBenefit.careTeam.provider",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.careTeam.provider` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam.provider` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.careTeam.provider` with unmapped reference targets: Organization, Practitioner, PractitionerRole."
}
]
},
{
"code": "ExplanationOfBenefit.careTeam.responsible",
"display": "responsible",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.careTeam.responsible",
"display": "ExplanationOfBenefit.careTeam.responsible",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.careTeam.responsible` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam.responsible` as `Equivalent`.\nResponsible might not be required when there is only a single provider listed."
}
]
},
{
"code": "ExplanationOfBenefit.careTeam.role",
"display": "role",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.careTeam.role",
"display": "ExplanationOfBenefit.careTeam.role",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.careTeam.role` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam.role` as `Equivalent`.\nRole might not be required when there is only a single provider listed."
}
]
},
{
"code": "ExplanationOfBenefit.careTeam.qualification",
"display": "qualification",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.careTeam.qualification",
"display": "ExplanationOfBenefit.careTeam.qualification",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.careTeam.qualification` is mapped to FHIR STU3 element `ExplanationOfBenefit.careTeam.qualification` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.supportingInfo",
"display": "supportingInfo",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.information",
"display": "ExplanationOfBenefit.information",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.supportingInfo` is mapped to FHIR STU3 element `ExplanationOfBenefit.information` as `Equivalent`.\nOften there are multiple jurisdiction specific valuesets which are required."
}
]
},
{
"code": "ExplanationOfBenefit.supportingInfo.sequence",
"display": "sequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.information.sequence",
"display": "ExplanationOfBenefit.information.sequence",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.supportingInfo.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.sequence` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.supportingInfo.category",
"display": "category",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.information.category",
"display": "ExplanationOfBenefit.information.category",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.supportingInfo.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.category` as `Equivalent`.\nThis may contain a category for the local bill type codes."
}
]
},
{
"code": "ExplanationOfBenefit.supportingInfo.code",
"display": "code",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.information.code",
"display": "ExplanationOfBenefit.information.code",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.supportingInfo.code` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.code` as `Equivalent`.\nThis may contain the local bill type codes such as the US UB-04 bill type code."
}
]
},
{
"code": "ExplanationOfBenefit.supportingInfo.timing[x]",
"display": "timing[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.information.timing[x]",
"display": "ExplanationOfBenefit.information.timing[x]",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.supportingInfo.timing[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.timing[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.supportingInfo.timing[x]` do not cover the following types: Period.\nThe mappings for `ExplanationOfBenefit.supportingInfo.timing[x]` do not cover the following types based on type expansion: end, start.\nThe target context `ExplanationOfBenefit.information.timing[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.information`."
}
]
},
{
"code": "ExplanationOfBenefit.supportingInfo.value[x]",
"display": "value[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.information.value[x]",
"display": "ExplanationOfBenefit.information.value[x]",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.supportingInfo.value[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.value[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.supportingInfo.value[x]` do not cover the following types: Attachment, boolean.\nThe target context `ExplanationOfBenefit.information.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.information`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.supportingInfo.value[x]` with unmapped reference targets: Resource.\nSource element `ExplanationOfBenefit.supportingInfo.value[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.information.value[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.\nCould be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident."
}
]
},
{
"code": "ExplanationOfBenefit.supportingInfo.reason",
"display": "reason",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.information.reason",
"display": "ExplanationOfBenefit.information.reason",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.supportingInfo.reason` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.reason` as `Equivalent`.\nFor example: the reason for the additional stay, or why a tooth is missing."
}
]
},
{
"code": "ExplanationOfBenefit.diagnosis",
"display": "diagnosis",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.diagnosis",
"display": "ExplanationOfBenefit.diagnosis",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.diagnosis` is mapped to FHIR STU3 element `ExplanationOfBenefit.diagnosis` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.diagnosis.sequence",
"display": "sequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.diagnosis.sequence",
"display": "ExplanationOfBenefit.diagnosis.sequence",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.diagnosis.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.diagnosis.sequence` as `Equivalent`.\nDiagnosis are presented in list order to their expected importance: primary, secondary, etc."
}
]
},
{
"code": "ExplanationOfBenefit.diagnosis.diagnosis[x]",
"display": "diagnosis[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.diagnosis.diagnosis[x]",
"display": "ExplanationOfBenefit.diagnosis.diagnosis[x]",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.diagnosis.diagnosis[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.diagnosis.diagnosis[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.diagnosis.diagnosis[x]` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.diagnosis.diagnosis[x]` with unmapped reference targets: Condition.\nSource element `ExplanationOfBenefit.diagnosis.diagnosis[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.diagnosis.diagnosis[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
}
]
},
{
"code": "ExplanationOfBenefit.diagnosis.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.diagnosis.type",
"display": "ExplanationOfBenefit.diagnosis.type",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.diagnosis.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.diagnosis.type` as `Equivalent`.\nFor example: admitting, primary, secondary, discharge."
}
]
},
{
"code": "ExplanationOfBenefit.diagnosis.packageCode",
"display": "packageCode",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.diagnosis.packageCode",
"display": "ExplanationOfBenefit.diagnosis.packageCode",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.diagnosis.packageCode` is mapped to FHIR STU3 element `ExplanationOfBenefit.diagnosis.packageCode` as `Equivalent`.\nFor example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event."
}
]
},
{
"code": "ExplanationOfBenefit.procedure",
"display": "procedure",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.procedure",
"display": "ExplanationOfBenefit.procedure",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.procedure` is mapped to FHIR STU3 element `ExplanationOfBenefit.procedure` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.procedure.sequence",
"display": "sequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.procedure.sequence",
"display": "ExplanationOfBenefit.procedure.sequence",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.procedure.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.procedure.sequence` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.procedure.date",
"display": "date",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.procedure.date",
"display": "ExplanationOfBenefit.procedure.date",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.procedure.date` is mapped to FHIR STU3 element `ExplanationOfBenefit.procedure.date` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.procedure.procedure[x]",
"display": "procedure[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.procedure.procedure[x]",
"display": "ExplanationOfBenefit.procedure.procedure[x]",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.procedure.procedure[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.procedure.procedure[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.procedure.procedure[x]` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.procedure.procedure[x]` with unmapped reference targets: Procedure.\nSource element `ExplanationOfBenefit.procedure.procedure[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.procedure.procedure[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
}
]
},
{
"code": "ExplanationOfBenefit.precedence",
"display": "precedence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.precedence",
"display": "ExplanationOfBenefit.precedence",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.precedence` is mapped to FHIR STU3 element `ExplanationOfBenefit.precedence` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.insurance",
"display": "insurance",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.insurance",
"display": "ExplanationOfBenefit.insurance",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.insurance` is mapped to FHIR STU3 element `ExplanationOfBenefit.insurance` as `SourceIsBroaderThanTarget`.\nAll insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim."
}
]
},
{
"code": "ExplanationOfBenefit.insurance.coverage",
"display": "coverage",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.insurance.coverage",
"display": "ExplanationOfBenefit.insurance.coverage",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.insurance.coverage` is mapped to FHIR STU3 element `ExplanationOfBenefit.insurance.coverage` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.insurance.coverage` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.insurance.coverage` with unmapped reference targets: Coverage."
}
]
},
{
"code": "ExplanationOfBenefit.insurance.preAuthRef",
"display": "preAuthRef",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.insurance.preAuthRef",
"display": "ExplanationOfBenefit.insurance.preAuthRef",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.insurance.preAuthRef` is mapped to FHIR STU3 element `ExplanationOfBenefit.insurance.preAuthRef` as `Equivalent`.\nThis value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier."
}
]
},
{
"code": "ExplanationOfBenefit.accident",
"display": "accident",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.accident",
"display": "ExplanationOfBenefit.accident",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.accident` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.accident.date",
"display": "date",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.accident.date",
"display": "ExplanationOfBenefit.accident.date",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.accident.date` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident.date` as `Equivalent`.\nThe date of the accident has to precede the dates of the products and services but within a reasonable timeframe."
}
]
},
{
"code": "ExplanationOfBenefit.accident.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.accident.type",
"display": "ExplanationOfBenefit.accident.type",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.accident.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident.type` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.accident.location[x]",
"display": "location[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.accident.location[x]",
"display": "ExplanationOfBenefit.accident.location[x]",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.accident.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident.location[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types: Address.\nThe mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types based on type expansion: city, country, display, district, identifier, line, period, postalCode, reference, state, text, type, use.\nThe target context `ExplanationOfBenefit.accident.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.accident`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.accident.location[x]` with unmapped reference targets: Location.\nSource element `ExplanationOfBenefit.accident.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.accident.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
}
]
},
{
"code": "ExplanationOfBenefit.item",
"display": "item",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.item",
"display": "ExplanationOfBenefit.item",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.item` is mapped to FHIR STU3 element `ExplanationOfBenefit.item` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.sequence",
"display": "sequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.sequence",
"display": "ExplanationOfBenefit.item.sequence",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.sequence` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.careTeamSequence",
"display": "careTeamSequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.careTeamLinkId",
"display": "ExplanationOfBenefit.item.careTeamLinkId",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.careTeamSequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.careTeamLinkId` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.diagnosisSequence",
"display": "diagnosisSequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.diagnosisLinkId",
"display": "ExplanationOfBenefit.item.diagnosisLinkId",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.diagnosisSequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.diagnosisLinkId` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.procedureSequence",
"display": "procedureSequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.procedureLinkId",
"display": "ExplanationOfBenefit.item.procedureLinkId",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.procedureSequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.procedureLinkId` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.informationSequence",
"display": "informationSequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.informationLinkId",
"display": "ExplanationOfBenefit.item.informationLinkId",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.informationSequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.informationLinkId` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.revenue",
"display": "revenue",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.revenue",
"display": "ExplanationOfBenefit.item.revenue",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.revenue` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.revenue` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.category",
"display": "category",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.category",
"display": "ExplanationOfBenefit.item.category",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.category` as `Equivalent`.\nExamples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."
}
]
},
{
"code": "ExplanationOfBenefit.item.productOrService",
"display": "productOrService",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.service",
"display": "ExplanationOfBenefit.item.service",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.productOrService` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.service` as `Equivalent`.\nIf this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."
}
]
},
{
"code": "ExplanationOfBenefit.item.modifier",
"display": "modifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.modifier",
"display": "ExplanationOfBenefit.item.modifier",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.modifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.modifier` as `Equivalent`.\nFor example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours."
}
]
},
{
"code": "ExplanationOfBenefit.item.programCode",
"display": "programCode",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.programCode",
"display": "ExplanationOfBenefit.item.programCode",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.programCode` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.programCode` as `Equivalent`.\nFor example: Neonatal program, child dental program or drug users recovery program."
}
]
},
{
"code": "ExplanationOfBenefit.item.serviced[x]",
"display": "serviced[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.item.serviced[x]",
"display": "ExplanationOfBenefit.item.serviced[x]",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.item.serviced[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.serviced[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.item.serviced[x]` do not cover the following types: Period.\nThe mappings for `ExplanationOfBenefit.item.serviced[x]` do not cover the following types based on type expansion: end, start.\nThe target context `ExplanationOfBenefit.item.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`."
}
]
},
{
"code": "ExplanationOfBenefit.item.location[x]",
"display": "location[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.item.location[x]",
"display": "ExplanationOfBenefit.item.location[x]",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.item.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.location[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.item.location[x]` do not cover the following types: Address.\nThe target context `ExplanationOfBenefit.item.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.item.location[x]` with unmapped reference targets: Location.\nSource element `ExplanationOfBenefit.item.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.item.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
}
]
},
{
"code": "ExplanationOfBenefit.item.quantity",
"display": "quantity",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.quantity",
"display": "ExplanationOfBenefit.item.quantity",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.quantity` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.quantity` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.unitPrice",
"display": "unitPrice",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.unitPrice",
"display": "ExplanationOfBenefit.item.unitPrice",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.unitPrice` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.unitPrice` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.factor",
"display": "factor",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.factor",
"display": "ExplanationOfBenefit.item.factor",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.factor` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.factor` as `Equivalent`.\nTo show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."
}
]
},
{
"code": "ExplanationOfBenefit.item.net",
"display": "net",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.net",
"display": "ExplanationOfBenefit.item.net",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.net` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.net` as `Equivalent`.\nFor example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."
}
]
},
{
"code": "ExplanationOfBenefit.item.udi",
"display": "udi",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.item.udi",
"display": "ExplanationOfBenefit.item.udi",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.item.udi` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.udi` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.item.udi` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.item.udi` with unmapped reference targets: Device."
}
]
},
{
"code": "ExplanationOfBenefit.item.bodySite",
"display": "bodySite",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.bodySite",
"display": "ExplanationOfBenefit.item.bodySite",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.bodySite` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.bodySite` as `Equivalent`.\nFor example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed."
}
]
},
{
"code": "ExplanationOfBenefit.item.subSite",
"display": "subSite",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.subSite",
"display": "ExplanationOfBenefit.item.subSite",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.subSite` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.subSite` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.encounter",
"display": "encounter",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.item.encounter",
"display": "ExplanationOfBenefit.item.encounter",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.item.encounter` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.encounter` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.item.encounter` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.item.encounter` with unmapped reference targets: Encounter."
}
]
},
{
"code": "ExplanationOfBenefit.item.noteNumber",
"display": "noteNumber",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.noteNumber",
"display": "ExplanationOfBenefit.item.noteNumber",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.noteNumber` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.noteNumber` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.adjudication",
"display": "adjudication",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.item.adjudication",
"display": "ExplanationOfBenefit.item.adjudication",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.item.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.adjudication.category",
"display": "category",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.adjudication.category",
"display": "ExplanationOfBenefit.item.adjudication.category",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.adjudication.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.category` as `Equivalent`.\nFor example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."
}
]
},
{
"code": "ExplanationOfBenefit.item.adjudication.reason",
"display": "reason",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.adjudication.reason",
"display": "ExplanationOfBenefit.item.adjudication.reason",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.adjudication.reason` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.reason` as `Equivalent`.\nFor example, may indicate that the funds for this benefit type have been exhausted."
}
]
},
{
"code": "ExplanationOfBenefit.item.adjudication.amount",
"display": "amount",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.adjudication.amount",
"display": "ExplanationOfBenefit.item.adjudication.amount",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.adjudication.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.amount` as `Equivalent`.\nFor example, amount submitted, eligible amount, co-payment, and benefit payable."
}
]
},
{
"code": "ExplanationOfBenefit.item.adjudication.value",
"display": "value",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.adjudication.value",
"display": "ExplanationOfBenefit.item.adjudication.value",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.adjudication.value` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.value` as `Equivalent`.\nFor example: eligible percentage or co-payment percentage."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail",
"display": "detail",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.item.detail",
"display": "ExplanationOfBenefit.item.detail",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.item.detail` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.sequence",
"display": "sequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.sequence",
"display": "ExplanationOfBenefit.item.detail.sequence",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.sequence` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.revenue",
"display": "revenue",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.revenue",
"display": "ExplanationOfBenefit.item.detail.revenue",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.revenue` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.revenue` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.category",
"display": "category",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.category",
"display": "ExplanationOfBenefit.item.detail.category",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.category` as `Equivalent`.\nExamples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.productOrService",
"display": "productOrService",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.service",
"display": "ExplanationOfBenefit.item.detail.service",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.productOrService` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.service` as `Equivalent`.\nIf this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.modifier",
"display": "modifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.modifier",
"display": "ExplanationOfBenefit.item.detail.modifier",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.modifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.modifier` as `Equivalent`.\nFor example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.programCode",
"display": "programCode",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.programCode",
"display": "ExplanationOfBenefit.item.detail.programCode",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.programCode` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.programCode` as `Equivalent`.\nFor example: Neonatal program, child dental program or drug users recovery program."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.quantity",
"display": "quantity",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.quantity",
"display": "ExplanationOfBenefit.item.detail.quantity",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.quantity` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.quantity` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.unitPrice",
"display": "unitPrice",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.unitPrice",
"display": "ExplanationOfBenefit.item.detail.unitPrice",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.unitPrice` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.unitPrice` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.factor",
"display": "factor",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.factor",
"display": "ExplanationOfBenefit.item.detail.factor",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.factor` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.factor` as `Equivalent`.\nTo show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.net",
"display": "net",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.net",
"display": "ExplanationOfBenefit.item.detail.net",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.net` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.net` as `Equivalent`.\nFor example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.udi",
"display": "udi",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.item.detail.udi",
"display": "ExplanationOfBenefit.item.detail.udi",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.item.detail.udi` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.udi` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.item.detail.udi` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.item.detail.udi` with unmapped reference targets: Device."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.noteNumber",
"display": "noteNumber",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.noteNumber",
"display": "ExplanationOfBenefit.item.detail.noteNumber",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.noteNumber` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.noteNumber` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.adjudication",
"display": "adjudication",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.adjudication",
"display": "ExplanationOfBenefit.item.detail.adjudication",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.adjudication` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail",
"display": "subDetail",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail",
"display": "ExplanationOfBenefit.item.detail.subDetail",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.sequence",
"display": "sequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.sequence",
"display": "ExplanationOfBenefit.item.detail.subDetail.sequence",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.sequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.sequence` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.revenue",
"display": "revenue",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.revenue",
"display": "ExplanationOfBenefit.item.detail.subDetail.revenue",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.revenue` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.revenue` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.category",
"display": "category",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.category",
"display": "ExplanationOfBenefit.item.detail.subDetail.category",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.category` as `Equivalent`.\nExamples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.productOrService",
"display": "productOrService",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.service",
"display": "ExplanationOfBenefit.item.detail.subDetail.service",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.productOrService` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.service` as `Equivalent`.\nIf this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.modifier",
"display": "modifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.modifier",
"display": "ExplanationOfBenefit.item.detail.subDetail.modifier",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.modifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.modifier` as `Equivalent`.\nFor example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.programCode",
"display": "programCode",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.programCode",
"display": "ExplanationOfBenefit.item.detail.subDetail.programCode",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.programCode` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.programCode` as `Equivalent`.\nFor example: Neonatal program, child dental program or drug users recovery program."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.quantity",
"display": "quantity",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.quantity",
"display": "ExplanationOfBenefit.item.detail.subDetail.quantity",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.quantity` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.quantity` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.unitPrice",
"display": "unitPrice",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.unitPrice",
"display": "ExplanationOfBenefit.item.detail.subDetail.unitPrice",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.unitPrice` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.unitPrice` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.factor",
"display": "factor",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.factor",
"display": "ExplanationOfBenefit.item.detail.subDetail.factor",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.factor` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.factor` as `Equivalent`.\nTo show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.net",
"display": "net",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.net",
"display": "ExplanationOfBenefit.item.detail.subDetail.net",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.net` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.net` as `Equivalent`.\nFor example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.udi",
"display": "udi",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.udi",
"display": "ExplanationOfBenefit.item.detail.subDetail.udi",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.udi` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.udi` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.item.detail.subDetail.udi` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ExplanationOfBenefit.item.detail.subDetail.udi` with unmapped reference targets: Device."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.noteNumber",
"display": "noteNumber",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.noteNumber",
"display": "ExplanationOfBenefit.item.detail.subDetail.noteNumber",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.noteNumber` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.noteNumber` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.detail.subDetail.adjudication",
"display": "adjudication",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.item.detail.subDetail.adjudication",
"display": "ExplanationOfBenefit.item.detail.subDetail.adjudication",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.detail.subDetail.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.detail.subDetail.adjudication` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.addItem",
"display": "addItem",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.addItem",
"display": "ExplanationOfBenefit.addItem",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.addItem` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.itemSequence",
"display": "itemSequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.addItem.sequenceLinkId",
"display": "ExplanationOfBenefit.addItem.sequenceLinkId",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.itemSequence` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.sequenceLinkId` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.productOrService",
"display": "productOrService",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.addItem.service",
"display": "ExplanationOfBenefit.addItem.service",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.productOrService` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.service` as `Equivalent`.\nIf this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.modifier",
"display": "modifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.addItem.modifier",
"display": "ExplanationOfBenefit.addItem.modifier",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.modifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.modifier` as `Equivalent`.\nFor example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.net",
"display": "net",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.addItem.fee",
"display": "ExplanationOfBenefit.addItem.fee",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.net` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.fee` as `Equivalent`.\nFor example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.noteNumber",
"display": "noteNumber",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.addItem.noteNumber",
"display": "ExplanationOfBenefit.addItem.noteNumber",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.noteNumber` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.noteNumber` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.adjudication",
"display": "adjudication",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.addItem.adjudication",
"display": "ExplanationOfBenefit.addItem.adjudication",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.adjudication` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail",
"display": "detail",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.addItem.detail",
"display": "ExplanationOfBenefit.addItem.detail",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.addItem.detail` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.productOrService",
"display": "productOrService",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.addItem.detail.service",
"display": "ExplanationOfBenefit.addItem.detail.service",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.productOrService` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail.service` as `Equivalent`.\nIf this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.modifier",
"display": "modifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.addItem.detail.modifier",
"display": "ExplanationOfBenefit.addItem.detail.modifier",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.modifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail.modifier` as `Equivalent`.\nFor example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.net",
"display": "net",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.addItem.detail.fee",
"display": "ExplanationOfBenefit.addItem.detail.fee",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.net` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail.fee` as `Equivalent`.\nFor example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.noteNumber",
"display": "noteNumber",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.addItem.detail.noteNumber",
"display": "ExplanationOfBenefit.addItem.detail.noteNumber",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.noteNumber` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail.noteNumber` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.adjudication",
"display": "adjudication",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.addItem.detail.adjudication",
"display": "ExplanationOfBenefit.addItem.detail.adjudication",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.addItem.detail.adjudication` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.total.amount",
"display": "amount",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "relatedto"
}
],
"code": "ExplanationOfBenefit.totalBenefit",
"display": "ExplanationOfBenefit.totalBenefit",
"equivalence": "relatedto",
"comment": "Element `ExplanationOfBenefit.total.amount` is part of an existing definition because parent element `ExplanationOfBenefit.total` requires a cross-version extension.\nElement `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalCost` as `SourceIsBroaderThanTarget`.\nElement `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalBenefit` as `SourceIsBroaderThanTarget`."
},
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "relatedto"
}
],
"code": "ExplanationOfBenefit.totalCost",
"display": "ExplanationOfBenefit.totalCost",
"equivalence": "relatedto",
"comment": "Element `ExplanationOfBenefit.total.amount` is part of an existing definition because parent element `ExplanationOfBenefit.total` requires a cross-version extension.\nElement `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalCost` as `SourceIsBroaderThanTarget`.\nElement `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalBenefit` as `SourceIsBroaderThanTarget`."
}
]
},
{
"code": "ExplanationOfBenefit.payment",
"display": "payment",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.payment",
"display": "ExplanationOfBenefit.payment",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.payment` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.payment.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.payment.type",
"display": "ExplanationOfBenefit.payment.type",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.payment.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.type` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.payment.adjustment",
"display": "adjustment",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.payment.adjustment",
"display": "ExplanationOfBenefit.payment.adjustment",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.payment.adjustment` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.adjustment` as `Equivalent`.\nInsurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider."
}
]
},
{
"code": "ExplanationOfBenefit.payment.adjustmentReason",
"display": "adjustmentReason",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.payment.adjustmentReason",
"display": "ExplanationOfBenefit.payment.adjustmentReason",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.payment.adjustmentReason` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.adjustmentReason` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.payment.date",
"display": "date",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.payment.date",
"display": "ExplanationOfBenefit.payment.date",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.payment.date` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.date` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.payment.amount",
"display": "amount",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.payment.amount",
"display": "ExplanationOfBenefit.payment.amount",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.payment.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.amount` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.payment.identifier",
"display": "identifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.payment.identifier",
"display": "ExplanationOfBenefit.payment.identifier",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.payment.identifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.payment.identifier` do not cover the following types: Identifier.\nThe mappings for `ExplanationOfBenefit.payment.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nFor example: EFT number or check number."
}
]
},
{
"code": "ExplanationOfBenefit.formCode",
"display": "formCode",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.form",
"display": "ExplanationOfBenefit.form",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.formCode` is mapped to FHIR STU3 element `ExplanationOfBenefit.form` as `Equivalent`.\nMay be needed to identify specific jurisdictional forms."
}
]
},
{
"code": "ExplanationOfBenefit.form",
"display": "form",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.form",
"display": "ExplanationOfBenefit.form",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.form` is mapped to FHIR STU3 element `ExplanationOfBenefit.form` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.form` do not cover the following types: Attachment.\nThe mappings for `ExplanationOfBenefit.form` do not cover the following types based on type expansion: creation, data, hash, size, title, url.\nNeeded to permit insurers to include the actual form."
}
]
},
{
"code": "ExplanationOfBenefit.processNote",
"display": "processNote",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.processNote",
"display": "ExplanationOfBenefit.processNote",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.processNote` is mapped to FHIR STU3 element `ExplanationOfBenefit.processNote` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.processNote.number",
"display": "number",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.processNote.number",
"display": "ExplanationOfBenefit.processNote.number",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.processNote.number` is mapped to FHIR STU3 element `ExplanationOfBenefit.processNote.number` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.processNote.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.processNote.type",
"display": "ExplanationOfBenefit.processNote.type",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.processNote.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.processNote.type` as `SourceIsNarrowerThanTarget`."
}
]
},
{
"code": "ExplanationOfBenefit.processNote.text",
"display": "text",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.processNote.text",
"display": "ExplanationOfBenefit.processNote.text",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.processNote.text` is mapped to FHIR STU3 element `ExplanationOfBenefit.processNote.text` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.processNote.language",
"display": "language",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.processNote.language",
"display": "ExplanationOfBenefit.processNote.language",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.processNote.language` is mapped to FHIR STU3 element `ExplanationOfBenefit.processNote.language` as `Equivalent`.\nOnly required if the language is different from the resource language."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance",
"display": "benefitBalance",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.benefitBalance",
"display": "ExplanationOfBenefit.benefitBalance",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.benefitBalance` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance.category",
"display": "category",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.benefitBalance.category",
"display": "ExplanationOfBenefit.benefitBalance.category",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.benefitBalance.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.category` as `Equivalent`.\nExamples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance.excluded",
"display": "excluded",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.benefitBalance.excluded",
"display": "ExplanationOfBenefit.benefitBalance.excluded",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.benefitBalance.excluded` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.excluded` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance.name",
"display": "name",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.benefitBalance.name",
"display": "ExplanationOfBenefit.benefitBalance.name",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.benefitBalance.name` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.name` as `Equivalent`.\nFor example: MED01, or DENT2."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance.description",
"display": "description",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.benefitBalance.description",
"display": "ExplanationOfBenefit.benefitBalance.description",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.benefitBalance.description` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.description` as `Equivalent`.\nFor example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance.network",
"display": "network",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.benefitBalance.network",
"display": "ExplanationOfBenefit.benefitBalance.network",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.benefitBalance.network` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.network` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance.unit",
"display": "unit",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.benefitBalance.unit",
"display": "ExplanationOfBenefit.benefitBalance.unit",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.benefitBalance.unit` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.unit` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance.term",
"display": "term",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.benefitBalance.term",
"display": "ExplanationOfBenefit.benefitBalance.term",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.benefitBalance.term` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.term` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance.financial",
"display": "financial",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "ExplanationOfBenefit.benefitBalance.financial",
"display": "ExplanationOfBenefit.benefitBalance.financial",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.benefitBalance.financial` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.financial` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance.financial.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.benefitBalance.financial.type",
"display": "ExplanationOfBenefit.benefitBalance.financial.type",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.benefitBalance.financial.type` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.financial.type` as `Equivalent`.\nFor example: deductible, visits, benefit amount."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance.financial.allowed[x]",
"display": "allowed[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.benefitBalance.financial.allowed[x]",
"display": "ExplanationOfBenefit.benefitBalance.financial.allowed[x]",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` as `Equivalent`.\nThe target context `ExplanationOfBenefit.benefitBalance.financial.allowed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.benefitBalance.financial`."
}
]
},
{
"code": "ExplanationOfBenefit.benefitBalance.financial.used[x]",
"display": "used[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "ExplanationOfBenefit.benefitBalance.financial.used[x]",
"display": "ExplanationOfBenefit.benefitBalance.financial.used[x]",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.benefitBalance.financial.used[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.benefitBalance.financial.used[x]` as `Equivalent`.\nThe target context `ExplanationOfBenefit.benefitBalance.financial.used[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.benefitBalance.financial`."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.meta",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.meta",
"display": "meta",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.meta` is mapped to FHIR STU3 element `ExplanationOfBenefit.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.meta` do not cover the following types: Meta.\nThe mappings for `ExplanationOfBenefit.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.text",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.text",
"display": "text",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.text` is mapped to FHIR STU3 element `ExplanationOfBenefit.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.text` do not cover the following types: Narrative.\nThe mappings for `ExplanationOfBenefit.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.identifier",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.identifier",
"display": "identifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.identifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.identifier` do not cover the following types: Identifier.\nThe mappings for `ExplanationOfBenefit.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.use",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.use",
"display": "use",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.use` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.use` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.billablePeriod",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.billablePeriod",
"display": "billablePeriod",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.billablePeriod` is mapped to FHIR STU3 element `ExplanationOfBenefit.billablePeriod` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.billablePeriod` do not cover the following types: Period.\nThe mappings for `ExplanationOfBenefit.billablePeriod` do not cover the following types based on type expansion: end, start.\nTypically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.priority",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.priority",
"display": "priority",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.priority` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.priority` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nIf a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.fundsReserveRequested",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.fundsReserveRequested",
"display": "fundsReserveRequested",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.fundsReserveRequested` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.fundsReserveRequested` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nThis field is only used for preauthorizations."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.fundsReserve",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.fundsReserve",
"display": "fundsReserve",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.fundsReserve` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.fundsReserve` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.related.reference",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.related.reference",
"display": "reference",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.related.reference` is mapped to FHIR STU3 element `ExplanationOfBenefit.related.reference` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.related.reference` do not cover the following types: Identifier.\nThe mappings for `ExplanationOfBenefit.related.reference` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nFor example, Property/Casualty insurer claim number or Workers Compensation case number."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.outcome",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.outcome",
"display": "outcome",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.outcome` is mapped to FHIR STU3 element `ExplanationOfBenefit.outcome` as `RelatedTo`.\nThe resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.preAuthRef",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.preAuthRef",
"display": "preAuthRef",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.preAuthRef` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.preAuthRef` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nThis value is only present on preauthorization adjudications."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.preAuthRefPeriod",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.preAuthRefPeriod",
"display": "preAuthRefPeriod",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.preAuthRefPeriod` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.preAuthRefPeriod` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nThis value is only present on preauthorization adjudications."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.supportingInfo.timing",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.supportingInfo.timing[x]",
"display": "timing[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.supportingInfo.timing[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.timing[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.supportingInfo.timing[x]` do not cover the following types: Period.\nThe mappings for `ExplanationOfBenefit.supportingInfo.timing[x]` do not cover the following types based on type expansion: end, start.\nThe target context `ExplanationOfBenefit.information.timing[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.information`."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.supportingInfo.value",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.supportingInfo.value[x]",
"display": "value[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.supportingInfo.value[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.value[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.supportingInfo.value[x]` do not cover the following types: Attachment, boolean.\nThe target context `ExplanationOfBenefit.information.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.information`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.supportingInfo.value[x]` with unmapped reference targets: Resource.\nSource element `ExplanationOfBenefit.supportingInfo.value[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.information.value[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.\nCould be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/StructureDefinition/alternate-reference",
"element": [
{
"code": "ExplanationOfBenefit.supportingInfo.value[x]",
"display": "value[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.supportingInfo.value[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.information.value[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.supportingInfo.value[x]` do not cover the following types: Attachment, boolean.\nThe target context `ExplanationOfBenefit.information.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.information`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.supportingInfo.value[x]` with unmapped reference targets: Resource.\nSource element `ExplanationOfBenefit.supportingInfo.value[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.information.value[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.\nCould be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident."
}
]
},
{
"code": "ExplanationOfBenefit.accident.location[x]",
"display": "location[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.accident.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident.location[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types: Address.\nThe mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types based on type expansion: city, country, display, district, identifier, line, period, postalCode, reference, state, text, type, use.\nThe target context `ExplanationOfBenefit.accident.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.accident`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.accident.location[x]` with unmapped reference targets: Location.\nSource element `ExplanationOfBenefit.accident.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.accident.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
}
]
},
{
"code": "ExplanationOfBenefit.item.location[x]",
"display": "location[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.location[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.item.location[x]` do not cover the following types: Address.\nThe target context `ExplanationOfBenefit.item.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.item.location[x]` with unmapped reference targets: Location.\nSource element `ExplanationOfBenefit.item.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.item.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.diagnosis.onAdmission",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.diagnosis.onAdmission",
"display": "onAdmission",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.diagnosis.onAdmission` has a context of ExplanationOfBenefit.diagnosis based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.diagnosis.onAdmission` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.procedure.type",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.procedure.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.procedure.type` has a context of ExplanationOfBenefit.procedure based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.procedure.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.procedure.udi",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.procedure.udi",
"display": "udi",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.procedure.udi` has a context of ExplanationOfBenefit.procedure based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.procedure.udi` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.insurance.focal",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.insurance.focal",
"display": "focal",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.insurance.focal` has a context of ExplanationOfBenefit.insurance based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.insurance.focal` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nA patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.accident.location",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.accident.location[x]",
"display": "location[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.accident.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.accident.location[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types: Address.\nThe mappings for `ExplanationOfBenefit.accident.location[x]` do not cover the following types based on type expansion: city, country, display, district, identifier, line, period, postalCode, reference, state, text, type, use.\nThe target context `ExplanationOfBenefit.accident.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.accident`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.accident.location[x]` with unmapped reference targets: Location.\nSource element `ExplanationOfBenefit.accident.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.accident.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.item.serviced",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.item.serviced[x]",
"display": "serviced[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.serviced[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.serviced[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.item.serviced[x]` do not cover the following types: Period.\nThe mappings for `ExplanationOfBenefit.item.serviced[x]` do not cover the following types based on type expansion: end, start.\nThe target context `ExplanationOfBenefit.item.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.item.location",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.item.location[x]",
"display": "location[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.location[x]` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.location[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.item.location[x]` do not cover the following types: Address.\nThe target context `ExplanationOfBenefit.item.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ExplanationOfBenefit.item`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `ExplanationOfBenefit.item.location[x]` with unmapped reference targets: Location.\nSource element `ExplanationOfBenefit.item.location[x]` has unmapped reference types. While the target element `ExplanationOfBenefit.item.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.item.adjudication",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.item.adjudication",
"display": "adjudication",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.adjudication` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication` as `Equivalent`."
}
]
},
{
"code": "ExplanationOfBenefit.item.adjudication.category",
"display": "category",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:category",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.adjudication.category` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.category` as `Equivalent`.\nFor example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."
}
]
},
{
"code": "ExplanationOfBenefit.item.adjudication.reason",
"display": "reason",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:reason",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.adjudication.reason` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.reason` as `Equivalent`.\nFor example, may indicate that the funds for this benefit type have been exhausted."
}
]
},
{
"code": "ExplanationOfBenefit.item.adjudication.amount",
"display": "amount",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:amount",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.adjudication.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.amount` as `Equivalent`.\nFor example, amount submitted, eligible amount, co-payment, and benefit payable."
}
]
},
{
"code": "ExplanationOfBenefit.item.adjudication.value",
"display": "value",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:value",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.item.adjudication.value` is mapped to FHIR STU3 element `ExplanationOfBenefit.item.adjudication.value` as `Equivalent`.\nFor example: eligible percentage or co-payment percentage."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.subDetail.adjudication",
"display": "adjudication",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:adjudication",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.detailSequence",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.detailSequence",
"display": "detailSequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detailSequence` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detailSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.subDetailSequence",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.subDetailSequence",
"display": "subDetailSequence",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.subDetailSequence` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.subDetailSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.provider",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.provider",
"display": "provider",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.provider` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.programCode",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.programCode",
"display": "programCode",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.programCode` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.programCode` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example: Neonatal program, child dental program or drug users recovery program."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.serviced",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.serviced[x]",
"display": "serviced[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.serviced[x]` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.serviced[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.location",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.location[x]",
"display": "location[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.location[x]` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.location[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.quantity",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.quantity",
"display": "quantity",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.quantity` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.unitPrice",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.unitPrice",
"display": "unitPrice",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.unitPrice` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.factor",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.factor",
"display": "factor",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.factor` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nTo show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.bodySite",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.bodySite",
"display": "bodySite",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.bodySite` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.bodySite` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example, providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.subSite",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.subSite",
"display": "subSite",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.subSite` has a context of ExplanationOfBenefit.addItem based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.subSite` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.quantity",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.detail.quantity",
"display": "quantity",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.quantity` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.unitPrice",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.detail.unitPrice",
"display": "unitPrice",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.unitPrice` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.factor",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.detail.factor",
"display": "factor",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.factor` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nTo show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.addItem.detail.subDetail",
"display": "subDetail",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.subDetail` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.subDetail` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.subDetail.productOrService",
"display": "productOrService",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:productOrService",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nIf this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.subDetail.modifier",
"display": "modifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:modifier",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.subDetail.modifier` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.modifier` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.subDetail.quantity",
"display": "quantity",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:quantity",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.subDetail.quantity` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.quantity` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice",
"display": "unitPrice",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:unitPrice",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.subDetail.factor",
"display": "factor",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:factor",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.subDetail.factor` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.factor` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nTo show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.subDetail.net",
"display": "net",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:net",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.subDetail.net` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.net` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.net` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber",
"display": "noteNumber",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:noteNumber",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "ExplanationOfBenefit.addItem.detail.subDetail.adjudication",
"display": "adjudication",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:adjudication",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` is part of an existing definition because parent element `ExplanationOfBenefit.addItem.detail.subDetail` requires a cross-version extension.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.total",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.total",
"display": "total",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.total` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.total` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nTotals for amounts submitted, co-pays, benefits payable etc."
}
]
},
{
"code": "ExplanationOfBenefit.total.category",
"display": "category",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:category",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.total.category` is part of an existing definition because parent element `ExplanationOfBenefit.total` requires a cross-version extension.\nElement `ExplanationOfBenefit.total.category` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.total.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."
}
]
},
{
"code": "ExplanationOfBenefit.total.amount",
"display": "amount",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Extension.extension:amount",
"equivalence": "wider",
"comment": "Element `ExplanationOfBenefit.total.amount` is part of an existing definition because parent element `ExplanationOfBenefit.total` requires a cross-version extension.\nElement `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalCost` as `SourceIsBroaderThanTarget`.\nElement `ExplanationOfBenefit.total.amount` is mapped to FHIR STU3 element `ExplanationOfBenefit.totalBenefit` as `SourceIsBroaderThanTarget`."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.payment.identifier",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.payment.identifier",
"display": "identifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.payment.identifier` is mapped to FHIR STU3 element `ExplanationOfBenefit.payment.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.payment.identifier` do not cover the following types: Identifier.\nThe mappings for `ExplanationOfBenefit.payment.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nFor example: EFT number or check number."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.form",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.form",
"display": "form",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.form` is mapped to FHIR STU3 element `ExplanationOfBenefit.form` as `SourceIsBroaderThanTarget`.\nThe mappings for `ExplanationOfBenefit.form` do not cover the following types: Attachment.\nThe mappings for `ExplanationOfBenefit.form` do not cover the following types based on type expansion: creation, data, hash, size, title, url.\nNeeded to permit insurers to include the actual form."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.benefitPeriod",
"targetVersion": "0.1.0",
"element": [
{
"code": "ExplanationOfBenefit.benefitPeriod",
"display": "benefitPeriod",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ExplanationOfBenefit.benefitPeriod` has a context of ExplanationOfBenefit based on following the parent source element upwards and mapping to `ExplanationOfBenefit`.\nElement `ExplanationOfBenefit.benefitPeriod` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nNot applicable when use=claim."
}
]
}
]
}
]
}