FHIR IG analytics| Package | hl7.fhir.uv.xver-r4b.r3 |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-ext-R4B-ExplanationOfBenefit.add.det.subDetail.json |
| FHIR Version | R3 |
| Source | http://hl7.org/fhir/uv/xver-r4b.r3/0.1.0/StructureDefinition-ext-R4B-ExplanationOfBenefit.add.det.subDetail.html |
| URL | http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T21:02:03.8104715+00:00 |
| Name | ExtensionExplanationOfBenefit_AddItem_Detail_SubDetail |
| Title | R4B: Insurer added line items (new) |
| Realm | uv |
| Authority | hl7 |
| Description | R4B: `ExplanationOfBenefit.addItem.detail.subDetail` (new:BackboneElement) |
| Purpose | This extension is part of the cross-version definitions generated to enable use of the element `ExplanationOfBenefit.addItem.detail.subDetail` as defined in FHIR R4B in FHIR STU3. The source element is defined as: `ExplanationOfBenefit.addItem.detail.subDetail` 0..* `BackboneElement` Across FHIR versions, the element set has been mapped as: * R4B: `ExplanationOfBenefit.addItem.detail.subDetail` 0..* `BackboneElement` * R4: `ExplanationOfBenefit.addItem.detail.subDetail` 0..* `BackboneElement` Following are the generation technical comments: 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). |
| Type | Extension |
| Kind | complex-type |
| ConceptMap | ||
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | R4B-ExplanationOfBenefit-element-map-to-R3 | Cross-version mapping for FHIR R4B ExplanationOfBenefit to FHIR STU3 ExplanationOfBenefit |
No resources found
No extension usage examples found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ext-R4B-ExplanationOfBenefit.add.det.subDetail
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension | 0..* | Extension | R4B: Insurer added line items (new) | |
  Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:productOrService | 1..1 | Extension | R4B: Billing, service, product, or drug code (new) | |
  url | 1..1 | uri | "productOrService" | |
  value[x] | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLS Codes (example): Allowable service and product codes. | |
| extension:modifier | 0..* | Extension | R4B: Service/Product billing modifiers (new) | |
| url | 1..1 | uri | "modifier" | |
| value[x] | 0..1 | CodeableConcept | Service/Product billing modifiers Binding: Modifier type Codes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |
| extension:quantity | 0..1 | Extension | R4B: Count of products or services (new) | |
| url | 1..1 | uri | "quantity" | |
| value[x] | 0..1 | SimpleQuantity | Count of products or services | |
| extension:unitPrice | 0..1 | Extension | R4B: Fee, charge or cost per item (new) | |
| url | 1..1 | uri | "unitPrice" | |
| value[x] | 0..1 | Money | Fee, charge or cost per item | |
| extension:factor | 0..1 | Extension | R4B: Price scaling factor (new) | |
| url | 1..1 | uri | "factor" | |
 value[x] | 0..1 | decimal | Price scaling factor | |
| extension:net | 0..1 | Extension | R4B: Total item cost (new) | |
| url | 1..1 | uri | "net" | |
| value[x] | 0..1 | Money | Total item cost | |
| extension:noteNumber | 0..* | Extension | R4B: Applicable note numbers (new) | |
| url | 1..1 | uri | "noteNumber" | |
| value[x] | 0..1 | positiveInt | Applicable note numbers | |
 extension:adjudication | 0..* | Extension | R4B: Added items adjudication (new) | |
 url | 1..1 | uri | "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.item.adjudication" | |
| value[x] | 0..0 | Value of extension | ||
| url | 1..1 | uri | "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail" | |
 value[x] | 0..0 | Value of extension | ||
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "ext-R4B-ExplanationOfBenefit.add.det.subDetail",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"extension": [
{
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r4b.r3"
},
{
"url": "version",
"valueString": "0.1.0"
},
{
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"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/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail",
"version": "0.1.0",
"name": "ExtensionExplanationOfBenefit_AddItem_Detail_SubDetail",
"title": "R4B: Insurer added line items (new)",
"status": "active",
"experimental": false,
"date": "2026-03-17T21:02:03.8104715+00:00",
"publisher": "FHIR Infrastructure",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail` (new:BackboneElement)",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `ExplanationOfBenefit.addItem.detail.subDetail` as defined in FHIR R4B\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`ExplanationOfBenefit.addItem.detail.subDetail` 0..* `BackboneElement`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n* R4B: `ExplanationOfBenefit.addItem.detail.subDetail` 0..* `BackboneElement`\n* R4: `ExplanationOfBenefit.addItem.detail.subDetail` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `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).",
"fhirVersion": "3.0.2",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "complex-type",
"abstract": false,
"contextType": "resource",
"context": [
"ExplanationOfBenefit.addItem.detail"
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R4B: Insurer added line items (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail` (new:BackboneElement)",
"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).",
"min": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false
},
{
"id": "Extension.id",
"path": "Extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 1,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:productOrService",
"path": "Extension.extension",
"sliceName": "productOrService",
"short": "R4B: Billing, service, product, or drug code (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` (new:CodeableConcept)",
"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'.",
"requirements": "Necessary to state what was provided or done. 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).",
"min": 1,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:productOrService.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:productOrService.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:productOrService.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "productOrService",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:productOrService.value[x]",
"path": "Extension.extension.value[x]",
"short": "Billing, service, product, or drug code",
"definition": "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
"comment": "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'.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Allowable service and product codes.",
"valueSetUri": "http://hl7.org/fhir/ValueSet/service-uscls|3.0.2"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:modifier",
"path": "Extension.extension",
"sliceName": "modifier",
"short": "R4B: Service/Product billing modifiers (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.modifier` (new:CodeableConcept)",
"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.",
"requirements": "To support inclusion of the item for adjudication or to charge an elevated fee. 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).",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:modifier.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:modifier.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:modifier.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "modifier",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:modifier.value[x]",
"path": "Extension.extension.value[x]",
"short": "Service/Product billing modifiers",
"definition": "Item typification or modifiers codes to convey additional context for the product or service.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
"valueSetUri": "http://hl7.org/fhir/ValueSet/claim-modifiers|3.0.2"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:quantity",
"path": "Extension.extension",
"sliceName": "quantity",
"short": "R4B: Count of products or services (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.quantity` (new:Quantity[SimpleQuantity])",
"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).",
"requirements": "Required when the product or service code does not convey the quantity provided. 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).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:quantity.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:quantity.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:quantity.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "quantity",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:quantity.value[x]",
"path": "Extension.extension.value[x]",
"short": "Count of products or services",
"definition": "The number of repetitions of a service or product.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:unitPrice",
"path": "Extension.extension",
"sliceName": "unitPrice",
"short": "R4B: Fee, charge or cost per item (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` (new:Money)",
"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).",
"requirements": "The amount charged to the patient by the provider for a single unit. 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).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:unitPrice.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:unitPrice.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:unitPrice.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "unitPrice",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:unitPrice.value[x]",
"path": "Extension.extension.value[x]",
"short": "Fee, charge or cost per item",
"definition": "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Money"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:factor",
"path": "Extension.extension",
"sliceName": "factor",
"short": "R4B: Price scaling factor (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.factor` (new:decimal)",
"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).",
"requirements": "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication. 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).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:factor.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:factor.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:factor.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "factor",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:factor.value[x]",
"path": "Extension.extension.value[x]",
"short": "Price scaling factor",
"definition": "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
"comment": "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:net",
"path": "Extension.extension",
"sliceName": "net",
"short": "R4B: Total item cost (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.net` (new:Money)",
"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.",
"requirements": "Provides the total amount claimed for the group (if a grouper) or the line item. 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).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:net.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:net.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:net.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "net",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:net.value[x]",
"path": "Extension.extension.value[x]",
"short": "Total item cost",
"definition": "The quantity times the unit price for an additional service or product or charge.",
"comment": "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Money"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:noteNumber",
"path": "Extension.extension",
"sliceName": "noteNumber",
"short": "R4B: Applicable note numbers (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` (new:positiveInt)",
"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).",
"requirements": "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item. 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).",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:noteNumber.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:noteNumber.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:noteNumber.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "noteNumber",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:noteNumber.value[x]",
"path": "Extension.extension.value[x]",
"short": "Applicable note numbers",
"definition": "The numbers associated with notes below which apply to the adjudication of this item.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "positiveInt"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:adjudication",
"path": "Extension.extension",
"sliceName": "adjudication",
"short": "R4B: Added items adjudication (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` (new:ExplanationOfBenefit.item.adjudication)",
"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).",
"requirements": "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).",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:adjudication.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:adjudication.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:adjudication.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.item.adjudication",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:adjudication.value[x]",
"path": "Extension.extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "base64Binary"
},
{
"code": "boolean"
},
{
"code": "code"
},
{
"code": "date"
},
{
"code": "dateTime"
},
{
"code": "decimal"
},
{
"code": "id"
},
{
"code": "instant"
},
{
"code": "integer"
},
{
"code": "markdown"
},
{
"code": "oid"
},
{
"code": "positiveInt"
},
{
"code": "string"
},
{
"code": "time"
},
{
"code": "unsignedInt"
},
{
"code": "uri"
},
{
"code": "Address"
},
{
"code": "Age"
},
{
"code": "Annotation"
},
{
"code": "Attachment"
},
{
"code": "CodeableConcept"
},
{
"code": "Coding"
},
{
"code": "ContactPoint"
},
{
"code": "Count"
},
{
"code": "Distance"
},
{
"code": "Duration"
},
{
"code": "HumanName"
},
{
"code": "Identifier"
},
{
"code": "Money"
},
{
"code": "Period"
},
{
"code": "Quantity"
},
{
"code": "Range"
},
{
"code": "Ratio"
},
{
"code": "Reference"
},
{
"code": "SampledData"
},
{
"code": "Signature"
},
{
"code": "Timing"
},
{
"code": "Meta"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "base64Binary"
},
{
"code": "boolean"
},
{
"code": "code"
},
{
"code": "date"
},
{
"code": "dateTime"
},
{
"code": "decimal"
},
{
"code": "id"
},
{
"code": "instant"
},
{
"code": "integer"
},
{
"code": "markdown"
},
{
"code": "oid"
},
{
"code": "positiveInt"
},
{
"code": "string"
},
{
"code": "time"
},
{
"code": "unsignedInt"
},
{
"code": "uri"
},
{
"code": "Address"
},
{
"code": "Age"
},
{
"code": "Annotation"
},
{
"code": "Attachment"
},
{
"code": "CodeableConcept"
},
{
"code": "Coding"
},
{
"code": "ContactPoint"
},
{
"code": "Count"
},
{
"code": "Distance"
},
{
"code": "Duration"
},
{
"code": "HumanName"
},
{
"code": "Identifier"
},
{
"code": "Money"
},
{
"code": "Period"
},
{
"code": "Quantity"
},
{
"code": "Range"
},
{
"code": "Ratio"
},
{
"code": "Reference"
},
{
"code": "SampledData"
},
{
"code": "Signature"
},
{
"code": "Timing"
},
{
"code": "Meta"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R4B: Insurer added line items (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail` (new:BackboneElement)",
"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).",
"min": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 1,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:productOrService",
"path": "Extension.extension",
"sliceName": "productOrService",
"short": "R4B: Billing, service, product, or drug code (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.productOrService` (new:CodeableConcept)",
"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'.",
"requirements": "Necessary to state what was provided or done. 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).",
"min": 1,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:productOrService.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "productOrService"
},
{
"id": "Extension.extension:productOrService.value[x]",
"path": "Extension.extension.value[x]",
"short": "Billing, service, product, or drug code",
"definition": "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
"comment": "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'.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Allowable service and product codes.",
"valueSetUri": "http://hl7.org/fhir/ValueSet/service-uscls|3.0.2"
}
},
{
"id": "Extension.extension:modifier",
"path": "Extension.extension",
"sliceName": "modifier",
"short": "R4B: Service/Product billing modifiers (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.modifier` (new:CodeableConcept)",
"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.",
"requirements": "To support inclusion of the item for adjudication or to charge an elevated fee. 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).",
"min": 0,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:modifier.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "modifier"
},
{
"id": "Extension.extension:modifier.value[x]",
"path": "Extension.extension.value[x]",
"short": "Service/Product billing modifiers",
"definition": "Item typification or modifiers codes to convey additional context for the product or service.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
"valueSetUri": "http://hl7.org/fhir/ValueSet/claim-modifiers|3.0.2"
}
},
{
"id": "Extension.extension:quantity",
"path": "Extension.extension",
"sliceName": "quantity",
"short": "R4B: Count of products or services (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.quantity` (new:Quantity[SimpleQuantity])",
"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).",
"requirements": "Required when the product or service code does not convey the quantity provided. 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).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:quantity.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "quantity"
},
{
"id": "Extension.extension:quantity.value[x]",
"path": "Extension.extension.value[x]",
"short": "Count of products or services",
"definition": "The number of repetitions of a service or product.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
]
},
{
"id": "Extension.extension:unitPrice",
"path": "Extension.extension",
"sliceName": "unitPrice",
"short": "R4B: Fee, charge or cost per item (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.unitPrice` (new:Money)",
"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).",
"requirements": "The amount charged to the patient by the provider for a single unit. 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).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:unitPrice.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "unitPrice"
},
{
"id": "Extension.extension:unitPrice.value[x]",
"path": "Extension.extension.value[x]",
"short": "Fee, charge or cost per item",
"definition": "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Money"
}
]
},
{
"id": "Extension.extension:factor",
"path": "Extension.extension",
"sliceName": "factor",
"short": "R4B: Price scaling factor (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.factor` (new:decimal)",
"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).",
"requirements": "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication. 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).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:factor.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "factor"
},
{
"id": "Extension.extension:factor.value[x]",
"path": "Extension.extension.value[x]",
"short": "Price scaling factor",
"definition": "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
"comment": "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
]
},
{
"id": "Extension.extension:net",
"path": "Extension.extension",
"sliceName": "net",
"short": "R4B: Total item cost (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.net` (new:Money)",
"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.",
"requirements": "Provides the total amount claimed for the group (if a grouper) or the line item. 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).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:net.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "net"
},
{
"id": "Extension.extension:net.value[x]",
"path": "Extension.extension.value[x]",
"short": "Total item cost",
"definition": "The quantity times the unit price for an additional service or product or charge.",
"comment": "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Money"
}
]
},
{
"id": "Extension.extension:noteNumber",
"path": "Extension.extension",
"sliceName": "noteNumber",
"short": "R4B: Applicable note numbers (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.noteNumber` (new:positiveInt)",
"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).",
"requirements": "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item. 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).",
"min": 0,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:noteNumber.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "noteNumber"
},
{
"id": "Extension.extension:noteNumber.value[x]",
"path": "Extension.extension.value[x]",
"short": "Applicable note numbers",
"definition": "The numbers associated with notes below which apply to the adjudication of this item.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "positiveInt"
}
]
},
{
"id": "Extension.extension:adjudication",
"path": "Extension.extension",
"sliceName": "adjudication",
"short": "R4B: Added items adjudication (new)",
"definition": "R4B: `ExplanationOfBenefit.addItem.detail.subDetail.adjudication` (new:ExplanationOfBenefit.item.adjudication)",
"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).",
"requirements": "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).",
"min": 0,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:adjudication.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.item.adjudication"
},
{
"id": "Extension.extension:adjudication.value[x]",
"path": "Extension.extension.value[x]",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
}
},
{
"id": "Extension.url",
"path": "Extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
}
}
]
}
}