explanationofbenefit-medicare
type: StructureDefinition
node role: treeRoot
resource.id:
  value: explanationofbenefit-medicare
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Name Flags Card. Type Description & Constraints ExplanationOfBenefit C 0..* ExplanationOfBenefit Explanation of Benefit resource inv-dh-eob-01: A PBS or RPBS claim SHALL include a prescription. inv-dh-eob-02: A MBS or DVABS claim SHALL NOT include a prescription. inv-dh-eob-03: One of subType or item.category SHALL be present. inv-dh-eob-04: A PBS claim SHALL be of type 'Pharmacy' (type='pharmacy'). inv-dh-eob-05: One meta.profile SHALL have value 'http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare'. meta 1..1 Meta Metadata about the resource profile 1..* uri Profiles this resource claims to conform to identifier S 1..1 Identifier Business Identifier status S 0..1 code active | cancelled | draft | entered-in-error Fixed Value: active type S 0..1 CodeableConcept Type or discipline subType S 0..* CodeableConcept Finer grained claim type information Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1 (required) patient S 1..1 Reference(AU Base Patient) The subject of the Products and Services created S 1..1 dateTime Creation date insurer 0..1 Reference(AU Base Organisation) Insurer responsible for the EOB provider S 0..1 Reference(AU Base Practitioner) Responsible provider for the claim organization 0..1 Reference(AU Base Organisation) Responsible organization for the claim prescription S 0..1 Reference(ADHA PBS MedicationRequest) {c} Prescription authorizing services or products item S 1..1 BackboneElement Goods and Services sequence S 1..1 positiveInt Service instance Fixed Value: 1 category S 0..1 CodeableConcept Type of service or product Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1 (extensible) service S 1..1 CodeableConcept Billing Code Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-dhs-modifications-pbs-mbs-dva-item-1 (required) serviced[x] S 1..1 date, Period Date or dates of Service quantity…
structure definition.url:
  value: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare
structure definition.version:
  value: 1.1.0
structure definition.name:
  value: ADHAExplanationofBenefitMedicare
structure definition.title:
  value: ADHA Medicare ExplanationOfBenefit
structure definition.status:
  value: active
structure definition.experimental:
  value: false
structure definition.date:
  value: 2023-04-14T04:08:50+00:00
structure definition.publisher:
  value: Australian Digital Health Agency
structure definition.contact:
  index: 0
  contact detail.telecom:
    index: 0
    contact point.system:
      value: email
structure definition.description:
  value: The purpose of this profile is to define a representation of a record of a claim against the Medicare Benefits Schedule (MBS), Department of Veterans’ Affairs (DVA), Pharmaceutical Benefits Schedule (PBS) or Repatriation Pharmaceutical Benefits Scheme (RPBS) for the electronic exchange of digital health information between Medicare repositories and the My Health Record system infrastructure in Australia.
structure definition.jurisdiction:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: urn:iso:std:iso:3166
    coding.code:
      value: AU
    coding.display:
      value: Australia
structure definition.copyright:
  value: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.
structure definition.fhir version:
  value: 3.0.2
structure definition.mapping:
  index: 0
  structure definition.mapping.identity:
    value: w5
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/w5
  structure definition.mapping.name:
    value: W5 Mapping
structure definition.mapping:
  index: 1
  structure definition.mapping.identity:
    value: cdanetv4
  structure definition.mapping.uri:
    value: http://www.cda-adc.ca/en/services/cdanet/
  structure definition.mapping.name:
    value: Canadian Dental Association eclaims standard
structure definition.mapping:
  index: 2
  structure definition.mapping.identity:
    value: v2
  structure definition.mapping.uri:
    value: http://hl7.org/v2
  structure definition.mapping.name:
    value: HL7 v2 Mapping
structure definition.mapping:
  index: 3
  structure definition.mapping.identity:
    value: rim
  structure definition.mapping.uri:
    value: http://hl7.org/v3
  structure definition.mapping.name:
    value: RIM Mapping
structure definition.kind:
  value: resource
structure definition.abstract:
  value: false
structure definition.type:
  value: ExplanationOfBenefit
structure definition.base definition:
  value: http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit
structure definition.derivation:
  value: constraint
structure definition.snapshot:
  structure definition.snapshot.element:
    index: 0
    element.id:
      value: ExplanationOfBenefit
    element definition.path:
      value: ExplanationOfBenefit
    element definition.short:
      value: Explanation of Benefit resource
    element definition.definition:
      value: This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.
    element definition.alias:
      value: EOB
      index: 0
    element definition.min:
      value: 0
    element definition.max:
      value: *
    element definition.base:
      element definition.base.path:
        value: ExplanationOfBenefit
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: *
    element definition.constraint:
      index: 0
      element definition.constraint.key:
        value: dom-2
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      element definition.constraint.expression:
        value: contained.contained.empty()
      element definition.constraint.xpath:
        value: not(parent::f:contained and f:contained)
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 1
      element definition.constraint.key:
        value: dom-1
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If the resource is contained in another resource, it SHALL NOT contain any narrative
      element definition.constraint.expression:
        value: contained.text.empty()
      element definition.constraint.xpath:
        value: not(parent::f:contained and f:text)
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 2
      element definition.constraint.key:
        value: dom-4
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      element definition.constraint.expression:
        value: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      element definition.constraint.xpath:
        value: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 3
      element definition.constraint.key:
        value: dom-3
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
      element definition.constraint.expression:
        value: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
      element definition.constraint.xpath:
        value: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 4
      element definition.constraint.key:
        value: inv-dh-eob-01
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: A PBS or RPBS claim SHALL include a prescription.
      element definition.constraint.expression:
        value: prescription.exists() implies (subType.coding.code='pbs' or subType.coding.code='rpbs' or item.category.coding.code='pbs' or item.category.coding.code='rpbs')
    element definition.constraint:
      index: 5
      element definition.constraint.key:
        value: inv-dh-eob-02
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: A MBS or DVABS claim SHALL NOT include a prescription.
      element definition.constraint.expression:
        value: prescription.empty() implies (subType.coding.code='mbs' or subType.coding.code='dva' or item.category.coding.code='mbs' or item.category.coding.code='dva')
    element definition.constraint:
      index: 6
      element definition.constraint.key:
        value: inv-dh-eob-03
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: One of subType or item.category SHALL be present.
      element definition.constraint.expression:
        value: subType.exists() or item.category.exists()
    element definition.constraint:
      index: 7
      element definition.constraint.key:
        value: inv-dh-eob-04

value: error

value: A PBS claim SHALL be of type 'Pharmacy' (type='pharmacy').

value: prescription.exists() implies type.coding.code='pharmacy'

index: 8
element definition.constraint.key:
  value: inv-dh-eob-05
element definition.constraint.severity:
  value: error
element definition.constraint.human:
  value: One meta.profile SHALL have value 'http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare'.
element definition.constraint.expression:
  value: meta.profile.where($this='http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare').exists()

index: 0
element definition.mapping.identity:
  value: rim
element definition.mapping.map:
  value: Entity. Role, or Act

index: 1
element definition.mapping.identity:
  value: w5
element definition.mapping.map:
  value: financial.other

index: 1
element.id:
  value: ExplanationOfBenefit.id
element definition.path:
  value: ExplanationOfBenefit.id
element definition.short:
  value: Logical id of this artifact
element definition.definition:
  value: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
element definition.comment:
  value: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: id
element definition.is summary:
  value: true

index: 2
element.id:
  value: ExplanationOfBenefit.meta
element definition.path:
  value: ExplanationOfBenefit.meta
element definition.short:
  value: Metadata about the resource
element definition.definition:
  value: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.meta
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Meta
element definition.is summary:
  value: true

index: 3
element.id:
  value: ExplanationOfBenefit.meta.id
element definition.path:
  value: ExplanationOfBenefit.meta.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 4
element.id:
  value: ExplanationOfBenefit.meta.extension
element definition.path:
  value: ExplanationOfBenefit.meta.extension
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: value
    element definition.slicing.discriminator.path:
      value: url
  element definition.slicing.description:
    value: Extensions are always sliced by (at least) url
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 5
element.id:
  value: ExplanationOfBenefit.meta.versionId
element definition.path:
  value: ExplanationOfBenefit.meta.versionId
element definition.short:
  value: Version specific identifier
element definition.definition:
  value: The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.
element definition.comment:
  value: The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Meta.versionId
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: id
element definition.is summary:
  value: true

index: 6
element.id:
  value: ExplanationOfBenefit.meta.lastUpdated
element definition.path:
  value: ExplanationOfBenefit.meta.lastUpdated
element definition.short:
  value: When the resource version last changed
element definition.definition:
  value: When the resource last changed - e.g. when the version changed.
element definition.comment:
  value: This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Meta.lastUpdated
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: instant
element definition.is summary:
  value: true

index: 7
element.id:
  value: ExplanationOfBenefit.meta.profile
element definition.path:
  value: ExplanationOfBenefit.meta.profile
element definition.short:
  value: Profiles this resource claims to conform to
element definition.definition:
  value: A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/STU3/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url]().
element definition.comment:
  value: It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Meta.profile
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: uri
element definition.is summary:
  value: true

index: 8
element.id:
  value: ExplanationOfBenefit.meta.security
element definition.path:
  value: ExplanationOfBenefit.meta.security
element definition.short:
  value: Security Labels applied to this resource
element definition.definition:
  value: Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
element definition.comment:
  value: The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Meta.security
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: SecurityLabels
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    extension.value boolean:
      value: true
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: Security Labels from the Healthcare Privacy and Security Classification System.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/security-labels
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/security-labels

index: 9
element.id:
  value: ExplanationOfBenefit.meta.tag
element definition.path:
  value: ExplanationOfBenefit.meta.tag
element definition.short:
  value: Tags applied to this resource
element definition.definition:
  value: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
element definition.comment:
  value: The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Meta.tag
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Tags
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/common-tags
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/common-tags

index: 10
element.id:
  value: ExplanationOfBenefit.implicitRules
element definition.path:
  value: ExplanationOfBenefit.implicitRules
element definition.short:
  value: A set of rules under which this content was created
element definition.definition:
  value: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
element definition.comment:
  value: 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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.implicitRules
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: uri
element definition.is modifier:
  value: true
element definition.is summary:
  value: true

index: 11
element.id:
  value: ExplanationOfBenefit.language
element definition.path:
  value: ExplanationOfBenefit.language
element definition.short:
  value: Language of the resource content
element definition.definition:
  value: The base language in which the resource is written.
element definition.comment:
  value: 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).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.language
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
    extension.value reference:
      link: http://hl7.org/fhir/ValueSet/all-languages
      reference.reference:
        value: http://hl7.org/fhir/ValueSet/all-languages
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Language
  element.extension:
    index: 2
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    extension.value boolean:
      value: true
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: A human language.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/languages
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/languages

index: 12
element.id:
  value: ExplanationOfBenefit.text
element definition.path:
  value: ExplanationOfBenefit.text
element definition.short:
  value: Text summary of the resource, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
element definition.comment:
  value: 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 in formation is added later.
element definition.alias:
  value: narrative
  index: 0
element definition.alias:
  value: html
  index: 1
element definition.alias:
  value: xhtml
  index: 2
element definition.alias:
  value: display
  index: 3
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: DomainResource.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
element definition.condition:
  value: dom-1
  index: 0
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Act.text?

index: 13
element.id:
  value: ExplanationOfBenefit.contained
element definition.path:
  value: ExplanationOfBenefit.contained
element definition.short:
  value: Contained, inline Resources
element definition.definition:
  value: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
element definition.comment:
  value: 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.
element definition.alias:
  value: inline resources
  index: 0
element definition.alias:
  value: anonymous resources
  index: 1
element definition.alias:
  value: contained resources
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.contained
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Resource
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 14
element.id:
  value: ExplanationOfBenefit.extension
element definition.path:
  value: ExplanationOfBenefit.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 15
element.id:
  value: ExplanationOfBenefit.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 16
element.id:
  value: ExplanationOfBenefit.identifier
element definition.path:
  value: ExplanationOfBenefit.identifier
element definition.short:
  value: Business Identifier
element definition.definition:
  value: The EOB Business Identifier.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
element definition.must support:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: id

index: 17
element.id:
  value: ExplanationOfBenefit.status
element definition.path:
  value: ExplanationOfBenefit.status
element definition.short:
  value: active | cancelled | draft | entered-in-error
element definition.definition:
  value: The status of the resource instance.
element definition.comment:
  value: This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.status
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.fixed code:
  value: active
element definition.must support:
  value: true
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ExplanationOfBenefitStatus
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: A code specifying the state of the resource instance.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/explanationofbenefit-status
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/explanationofbenefit-status
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: status

index: 18
element.id:
  value: ExplanationOfBenefit.type
element definition.path:
  value: ExplanationOfBenefit.type
element definition.short:
  value: Type or discipline
element definition.definition:
  value: The category of claim, eg, oral, pharmacy, vision, insitutional, professional.
element definition.comment:
  value: Affects which fields and value sets are used.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.must support:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ClaimType
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The type or discipline-style of the claim
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/claim-type
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/claim-type
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: class

index: 19
element.id:
  value: ExplanationOfBenefit.subType
element definition.path:
  value: ExplanationOfBenefit.subType
element definition.short:
  value: Finer grained claim type information
element definition.definition:
  value: A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the BillType.
element definition.comment:
  value: This may contain the local bill type codes such as the US UB-04 bill type code.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.subType
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.must support:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: required
  element definition.binding.value set reference:
    link: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1
    reference.reference:
      value: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: class

index: 20
element.id:
  value: ExplanationOfBenefit.patient
element definition.path:
  value: ExplanationOfBenefit.patient
element definition.short:
  value: The subject of the Products and Services
element definition.definition:
  value: Patient Resource.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.patient
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org.au/fhir/StructureDefinition/au-patient
element definition.must support:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: C06,C07,C08, C05, C04
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: who.focus

index: 21
element.id:
  value: ExplanationOfBenefit.billablePeriod
element definition.path:
  value: ExplanationOfBenefit.billablePeriod
element definition.short:
  value: Period for charge submission
element definition.definition:
  value: The billable period for which charges are being submitted.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.billablePeriod
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Period
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: when.done

index: 22
element.id:
  value: ExplanationOfBenefit.created
element definition.path:
  value: ExplanationOfBenefit.created
element definition.short:
  value: Creation date
element definition.definition:
  value: The date when the EOB was created.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.created
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.must support:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: when.recorded

index: 23
element.id:
  value: ExplanationOfBenefit.enterer
element definition.path:
  value: ExplanationOfBenefit.enterer
element definition.short:
  value: Author
element definition.definition:
  value: The person who created the explanation of benefit.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.enterer
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: who.author

index: 24
element.id:
  value: ExplanationOfBenefit.insurer
element definition.path:
  value: ExplanationOfBenefit.insurer
element definition.short:
  value: Insurer responsible for the EOB
element definition.definition:
  value: The insurer which is responsible for the explanation of benefit.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.insurer
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org.au/fhir/StructureDefinition/au-organisation
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: B02
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: who.author

index: 25
element.id:
  value: ExplanationOfBenefit.provider
element definition.path:
  value: ExplanationOfBenefit.provider
element definition.short:
  value: Responsible provider for the claim
element definition.definition:
  value: The provider which is responsible for the claim.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.provider
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org.au/fhir/StructureDefinition/au-practitioner
element definition.must support:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: B02
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: who.source

index: 26
element.id:
  value: ExplanationOfBenefit.organization
element definition.path:
  value: ExplanationOfBenefit.organization
element definition.short:
  value: Responsible organization for the claim
element definition.definition:
  value: The provider which is responsible for the claim.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.organization
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org.au/fhir/StructureDefinition/au-organisation
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: B02
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: who.source

index: 27
element.id:
  value: ExplanationOfBenefit.referral
element definition.path:
  value: ExplanationOfBenefit.referral
element definition.short:
  value: Treatment Referral
element definition.definition:
  value: The referral resource which lists the date, practitioner, reason and other supporting information.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.referral
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/ReferralRequest
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: B05
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: who.cause

index: 28
element.id:
  value: ExplanationOfBenefit.facility
element definition.path:
  value: ExplanationOfBenefit.facility
element definition.short:
  value: Servicing Facility
element definition.definition:
  value: Facility where the services were provided.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.facility
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Location
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: where

index: 29
element.id:
  value: ExplanationOfBenefit.claim
element definition.path:
  value: ExplanationOfBenefit.claim
element definition.short:
  value: Claim reference
element definition.definition:
  value: The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.claim
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Claim
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: A02|G01
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: why

index: 30
element.id:
  value: ExplanationOfBenefit.claimResponse
element definition.path:
  value: ExplanationOfBenefit.claimResponse
element definition.short:
  value: Claim response reference
element definition.definition:
  value: The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.claimResponse
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/ClaimResponse
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: A02|G01

index: 31
element.id:
  value: ExplanationOfBenefit.outcome
element definition.path:
  value: ExplanationOfBenefit.outcome
element definition.short:
  value: complete | error | partial
element definition.definition:
  value: Processing outcome errror, partial or complete processing.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.outcome
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RemittanceOutcome
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The result of the claim processing
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/remittance-outcome
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/remittance-outcome

index: 32
element.id:
  value: ExplanationOfBenefit.disposition
element definition.path:
  value: ExplanationOfBenefit.disposition
element definition.short:
  value: Disposition Message
element definition.definition:
  value: A description of the status of the adjudication.
element definition.comment:
  value: Do we need a disposition code?
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.disposition
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string

index: 33
element.id:
  value: ExplanationOfBenefit.related
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: RelatedClaim
element definition.path:
  value: ExplanationOfBenefit.related
element definition.short:
  value: Related Claims which may be revelant to processing this claim
element definition.definition:
  value: Other claims which are related to this claim such as prior claim versions or for related services.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.related
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 34
element.id:
  value: ExplanationOfBenefit.related.id
element definition.path:
  value: ExplanationOfBenefit.related.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 35
element.id:
  value: ExplanationOfBenefit.related.extension
element definition.path:
  value: ExplanationOfBenefit.related.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 36
element.id:
  value: ExplanationOfBenefit.related.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.related.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 37
element.id:
  value: ExplanationOfBenefit.related.claim
element definition.path:
  value: ExplanationOfBenefit.related.claim
element definition.short:
  value: Reference to the related claim
element definition.definition:
  value: Other claims which are related to this claim such as prior claim versions or for related services.
element definition.comment:
  value: Do we need a relationship code?
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.related.claim
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Claim

index: 38
element.id:
  value: ExplanationOfBenefit.related.relationship
element definition.path:
  value: ExplanationOfBenefit.related.relationship
element definition.short:
  value: How the reference claim is related
element definition.definition:
  value: For example prior or umbrella.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.related.relationship
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RelatedClaimRelationship
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Relationship of this claim to a related Claim
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/related-claim-relationship
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/related-claim-relationship

index: 39
element.id:
  value: ExplanationOfBenefit.related.reference
element definition.path:
  value: ExplanationOfBenefit.related.reference
element definition.short:
  value: Related file or case reference
element definition.definition:
  value: An alternate organizational reference to the case or file to which this particular claim pertains - eg Property/Casualy insurer claim # or Workers Compensation case # .
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.related.reference
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier

index: 40
element.id:
  value: ExplanationOfBenefit.prescription
element definition.path:
  value: ExplanationOfBenefit.prescription
element definition.short:
  value: Prescription authorizing services or products
element definition.definition:
  value: Prescription to support the dispensing of Pharmacy or Vision products.
element definition.requirements:
  value: For type=Pharmacy and Vision only.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.prescription
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/medicationrequest-pbs
  element definition.type.aggregation:
    value: contained
    index: 0
element definition.must support:
  value: true

index: 41
element.id:
  value: ExplanationOfBenefit.originalPrescription
element definition.path:
  value: ExplanationOfBenefit.originalPrescription
element definition.short:
  value: Original prescription if superceded by fulfiller
element definition.definition:
  value: Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.originalPrescription
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/MedicationRequest

index: 42
element.id:
  value: ExplanationOfBenefit.payee
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Payee
element definition.path:
  value: ExplanationOfBenefit.payee
element definition.short:
  value: Party to be paid any benefits payable
element definition.definition:
  value: The party to be reimbursed for the services.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payee
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F02

index: 43
element.id:
  value: ExplanationOfBenefit.payee.id
element definition.path:
  value: ExplanationOfBenefit.payee.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 44
element.id:
  value: ExplanationOfBenefit.payee.extension
element definition.path:
  value: ExplanationOfBenefit.payee.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 45
element.id:
  value: ExplanationOfBenefit.payee.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.payee.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 46
element.id:
  value: ExplanationOfBenefit.payee.type
element definition.path:
  value: ExplanationOfBenefit.payee.type
element definition.short:
  value: Type of party: Subscriber, Provider, other
element definition.definition:
  value: Type of Party to be reimbursed: Subscriber, provider, other.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payee.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: PayeeType
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    extension.value boolean:
      value: true
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: A code for the party to be reimbursed.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/payeetype
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/payeetype

index: 47
element.id:
  value: ExplanationOfBenefit.payee.resourceType
element definition.path:
  value: ExplanationOfBenefit.payee.resourceType
element definition.short:
  value: organization | patient | practitioner | relatedperson
element definition.definition:
  value: organization | patient | practitioner | relatedperson.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payee.resourceType
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: PayeeResourceType
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The type of payee Resource
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/resource-type-link
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/resource-type-link

index: 48
element.id:
  value: ExplanationOfBenefit.payee.party
element definition.path:
  value: ExplanationOfBenefit.payee.party
element definition.short:
  value: Party to receive the payable
element definition.definition:
  value: Party to be reimbursed: Subscriber, provider, other.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payee.party
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
element definition.type:
  index: 1
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
element definition.type:
  index: 2
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
element definition.type:
  index: 3
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: B03, B04

index: 49
element.id:
  value: ExplanationOfBenefit.information
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: SupportingInformation
element definition.path:
  value: ExplanationOfBenefit.information
element definition.short:
  value: Exceptions, special considerations, the condition, situation, prior or concurrent issues
element definition.definition:
  value: Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required.
element definition.requirements:
  value: Typically these information codes are required to support the services rendered or the adjudication of the services rendered.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.information
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 50
element.id:
  value: ExplanationOfBenefit.information.id
element definition.path:
  value: ExplanationOfBenefit.information.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 51
element.id:
  value: ExplanationOfBenefit.information.extension
element definition.path:
  value: ExplanationOfBenefit.information.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 52
element.id:
  value: ExplanationOfBenefit.information.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.information.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 53
element.id:
  value: ExplanationOfBenefit.information.sequence
element definition.path:
  value: ExplanationOfBenefit.information.sequence
element definition.short:
  value: Information instance identifier
element definition.definition:
  value: Sequence of the information element which serves to provide a link.
element definition.requirements:
  value: To provide a reference link.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.information.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 54
element.id:
  value: ExplanationOfBenefit.information.category
element definition.path:
  value: ExplanationOfBenefit.information.category
element definition.short:
  value: General class of information
element definition.definition:
  value: The general class of the information supplied: information; exception; accident, employment; onset, etc.
element definition.comment:
  value: This may contain the local bill type codes such as the US UB-04 bill type code.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.information.category
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: InformationCategory
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The valuset used for additional information category codes.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/claim-informationcategory
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/claim-informationcategory

index: 55
element.id:
  value: ExplanationOfBenefit.information.code
element definition.path:
  value: ExplanationOfBenefit.information.code
element definition.short:
  value: Type of information
element definition.definition:
  value: System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought which may influence the adjudication.
element definition.comment:
  value: This may contain the local bill type codes such as the US UB-04 bill type code.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.information.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: InformationCode
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The valuset used for additional information codes.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/claim-exception
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/claim-exception
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F23

index: 56
element.id:
  value: ExplanationOfBenefit.information.timing[x]
element definition.path:
  value: ExplanationOfBenefit.information.timing[x]
element definition.short:
  value: When it occurred
element definition.definition:
  value: The date when or period to which this information refers.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.information.timing[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: date
element definition.type:
  index: 1
  element definition.type.code:
    value: Period
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F24

index: 57
element.id:
  value: ExplanationOfBenefit.information.value[x]
element definition.path:
  value: ExplanationOfBenefit.information.value[x]
element definition.short:
  value: Additional Data or supporting information
element definition.definition:
  value: Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.information.value[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.type:
  index: 1
  element definition.type.code:
    value: Quantity
element definition.type:
  index: 2
  element definition.type.code:
    value: Attachment
element definition.type:
  index: 3
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource

index: 58
element.id:
  value: ExplanationOfBenefit.information.reason
element definition.path:
  value: ExplanationOfBenefit.information.reason
element definition.short:
  value: Reason associated with the information
element definition.definition:
  value: For example, provides the reason for: the additional stay, or missing tooth or any other situation where a reason code is required in addition to the content.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.information.reason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: MissingReason
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Reason codes for the missing teeth
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/missing-tooth-reason
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/missing-tooth-reason

index: 59
element.id:
  value: ExplanationOfBenefit.careTeam
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: CareTeam
element definition.path:
  value: ExplanationOfBenefit.careTeam
element definition.short:
  value: Care Team members
element definition.definition:
  value: The members of the team who provided the overall service as well as their role and whether responsible and qualifications.
element definition.requirements:
  value: Role and Responsible may not be required when there is only a single provider listed.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 60
element.id:
  value: ExplanationOfBenefit.careTeam.id
element definition.path:
  value: ExplanationOfBenefit.careTeam.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 61
element.id:
  value: ExplanationOfBenefit.careTeam.extension
element definition.path:
  value: ExplanationOfBenefit.careTeam.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 62
element.id:
  value: ExplanationOfBenefit.careTeam.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.careTeam.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 63
element.id:
  value: ExplanationOfBenefit.careTeam.sequence
element definition.path:
  value: ExplanationOfBenefit.careTeam.sequence
element definition.short:
  value: Number to covey order of careteam
element definition.definition:
  value: Sequence of careteam which serves to order and provide a link.
element definition.requirements:
  value: Required to maintain order of the careteam members.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 64
element.id:
  value: ExplanationOfBenefit.careTeam.provider
element definition.path:
  value: ExplanationOfBenefit.careTeam.provider
element definition.short:
  value: Member of the Care Team
element definition.definition:
  value: The members of the team who provided the overall service.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam.provider
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
element definition.type:
  index: 1
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: who.actor

index: 65
element.id:
  value: ExplanationOfBenefit.careTeam.responsible
element definition.path:
  value: ExplanationOfBenefit.careTeam.responsible
element definition.short:
  value: Billing practitioner
element definition.definition:
  value: The practitioner who is billing and responsible for the claimed services rendered to the patient.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam.responsible
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: boolean

index: 66
element.id:
  value: ExplanationOfBenefit.careTeam.role
element definition.path:
  value: ExplanationOfBenefit.careTeam.role
element definition.short:
  value: Role on the team
element definition.definition:
  value: The lead, assisting or supervising practitioner and their discipline if a multidisiplinary team.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam.role
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: CareTeamRole
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The role codes for the care team members.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/claim-careteamrole
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/claim-careteamrole

index: 67
element.id:
  value: ExplanationOfBenefit.careTeam.qualification
element definition.path:
  value: ExplanationOfBenefit.careTeam.qualification
element definition.short:
  value: Type, classification or Specialization
element definition.definition:
  value: The qualification which is applicable for this service.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam.qualification
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProviderQualification
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Provider professional qualifications
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/provider-qualification
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/provider-qualification

index: 68
element.id:
  value: ExplanationOfBenefit.diagnosis
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Diagnosis
element definition.path:
  value: ExplanationOfBenefit.diagnosis
element definition.short:
  value: List of Diagnosis
element definition.definition:
  value: Ordered list of patient diagnosis for which care is sought.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.diagnosis
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 69
element.id:
  value: ExplanationOfBenefit.diagnosis.id
element definition.path:
  value: ExplanationOfBenefit.diagnosis.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 70
element.id:
  value: ExplanationOfBenefit.diagnosis.extension
element definition.path:
  value: ExplanationOfBenefit.diagnosis.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 71
element.id:
  value: ExplanationOfBenefit.diagnosis.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.diagnosis.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 72
element.id:
  value: ExplanationOfBenefit.diagnosis.sequence
element definition.path:
  value: ExplanationOfBenefit.diagnosis.sequence
element definition.short:
  value: Number to covey order of diagnosis
element definition.definition:
  value: Sequence of diagnosis which serves to provide a link.
element definition.requirements:
  value: Required to allow line items to reference the diagnoses.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.diagnosis.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 73
element.id:
  value: ExplanationOfBenefit.diagnosis.diagnosis[x]
element definition.path:
  value: ExplanationOfBenefit.diagnosis.diagnosis[x]
element definition.short:
  value: Patient's diagnosis
element definition.definition:
  value: The diagnosis.
element definition.requirements:
  value: Required to adjudicate services rendered to condition presented.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.diagnosis.diagnosis[x]
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.type:
  index: 1
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Condition
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ICD10
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: ICD10 Diagnostic codes
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/icd-10
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/icd-10

index: 74
element.id:
  value: ExplanationOfBenefit.diagnosis.type
element definition.path:
  value: ExplanationOfBenefit.diagnosis.type
element definition.short:
  value: Timing or nature of the diagnosis
element definition.definition:
  value: The type of the Diagnosis, for example: admitting, primary, secondary, discharge.
element definition.comment:
  value: Diagnosis are presented in list order to their expected importance: primary, secondary, etc.
element definition.requirements:
  value: Required to adjudicate services rendered to the mandated diagnosis grouping system.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.diagnosis.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: DiagnosisType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The type of the diagnosis: admitting, principal, discharge
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/ex-diagnosistype
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/ex-diagnosistype

index: 75
element.id:
  value: ExplanationOfBenefit.diagnosis.packageCode
element definition.path:
  value: ExplanationOfBenefit.diagnosis.packageCode
element definition.short:
  value: Package billing code
element definition.definition:
  value: The package billing code, for example DRG, based on the assigned grouping code system.
element definition.requirements:
  value: Required to adjudicate services rendered to the mandated grouping system.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.diagnosis.packageCode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: DiagnosisRelatedGroup
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The DRG codes associated with the diagnosis
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup

index: 76
element.id:
  value: ExplanationOfBenefit.procedure
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Procedure
element definition.path:
  value: ExplanationOfBenefit.procedure
element definition.short:
  value: Procedures performed
element definition.definition:
  value: Ordered list of patient procedures performed to support the adjudication.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.procedure
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 77
element.id:
  value: ExplanationOfBenefit.procedure.id
element definition.path:
  value: ExplanationOfBenefit.procedure.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 78
element.id:
  value: ExplanationOfBenefit.procedure.extension
element definition.path:
  value: ExplanationOfBenefit.procedure.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 79
element.id:
  value: ExplanationOfBenefit.procedure.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.procedure.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 80
element.id:
  value: ExplanationOfBenefit.procedure.sequence
element definition.path:
  value: ExplanationOfBenefit.procedure.sequence
element definition.short:
  value: Procedure sequence for reference
element definition.definition:
  value: Sequence of procedures which serves to order and provide a link.
element definition.requirements:
  value: Required to maintain order of the procudures.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.procedure.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 81
element.id:
  value: ExplanationOfBenefit.procedure.date
element definition.path:
  value: ExplanationOfBenefit.procedure.date
element definition.short:
  value: When the procedure was performed
element definition.definition:
  value: Date and optionally time the procedure was performed .
element definition.comment:
  value: SB DateTime??
element definition.requirements:
  value: Required to adjudicate services rendered.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.procedure.date
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime

index: 82
element.id:
  value: ExplanationOfBenefit.procedure.procedure[x]
element definition.path:
  value: ExplanationOfBenefit.procedure.procedure[x]
element definition.short:
  value: Patient's list of procedures performed
element definition.definition:
  value: The procedure code.
element definition.requirements:
  value: Required to adjudicate services rendered.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.procedure.procedure[x]
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.type:
  index: 1
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Procedure
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ICD10_Procedures
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: ICD10 Procedure codes
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/icd-10-procedures
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/icd-10-procedures

index: 83
element.id:
  value: ExplanationOfBenefit.precedence
element definition.path:
  value: ExplanationOfBenefit.precedence
element definition.short:
  value: Precedence (primary, secondary, etc.)
element definition.definition:
  value: Precedence (primary, secondary, etc.).
element definition.requirements:
  value: Health care programs and insurers are significant payors of health service costs.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.precedence
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 84
element.id:
  value: ExplanationOfBenefit.insurance
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Insurance
element definition.path:
  value: ExplanationOfBenefit.insurance
element definition.short:
  value: Insurance or medical plan
element definition.definition:
  value: Financial instrument by which payment information for health care.
element definition.requirements:
  value: Health care programs and insurers are significant payors of health service costs.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.insurance
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: Coverage

index: 85
element.id:
  value: ExplanationOfBenefit.insurance.id
element definition.path:
  value: ExplanationOfBenefit.insurance.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 86
element.id:
  value: ExplanationOfBenefit.insurance.extension
element definition.path:
  value: ExplanationOfBenefit.insurance.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 87
element.id:
  value: ExplanationOfBenefit.insurance.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.insurance.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 88
element.id:
  value: ExplanationOfBenefit.insurance.coverage
element definition.path:
  value: ExplanationOfBenefit.insurance.coverage
element definition.short:
  value: Insurance information
element definition.definition:
  value: Reference to the program or plan identification, underwriter or payor.
element definition.requirements:
  value: Need to identify the issuer to target for processing and for coordination of benefit processing.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.insurance.coverage
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Coverage

index: 89
element.id:
  value: ExplanationOfBenefit.insurance.preAuthRef
element definition.path:
  value: ExplanationOfBenefit.insurance.preAuthRef
element definition.short:
  value: Pre-Authorization/Determination Reference
element definition.definition:
  value: A list of references from the Insurer to which these services pertain.
element definition.requirements:
  value: To provide any pre=determination or prior authorization reference.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.insurance.preAuthRef
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F03

index: 90
element.id:
  value: ExplanationOfBenefit.accident
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Accident
element definition.path:
  value: ExplanationOfBenefit.accident
element definition.short:
  value: Details of an accident
element definition.definition:
  value: An accident which resulted in the need for healthcare services.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.accident
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 91
element.id:
  value: ExplanationOfBenefit.accident.id
element definition.path:
  value: ExplanationOfBenefit.accident.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 92
element.id:
  value: ExplanationOfBenefit.accident.extension
element definition.path:
  value: ExplanationOfBenefit.accident.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 93
element.id:
  value: ExplanationOfBenefit.accident.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.accident.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 94
element.id:
  value: ExplanationOfBenefit.accident.date
element definition.path:
  value: ExplanationOfBenefit.accident.date
element definition.short:
  value: When the accident occurred
element definition.definition:
  value: Date of an accident which these services are addressing.
element definition.requirements:
  value: Coverage may be dependant on accidents.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.accident.date
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: date
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F02

index: 95
element.id:
  value: ExplanationOfBenefit.accident.type
element definition.path:
  value: ExplanationOfBenefit.accident.type
element definition.short:
  value: The nature of the accident
element definition.definition:
  value: Type of accident: work, auto, etc.
element definition.requirements:
  value: Coverage may be dependant on the type of accident.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.accident.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: AccidentType
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: Type of accident: work place, auto, etc.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/v3-ActIncidentCode
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/v3-ActIncidentCode

index: 96
element.id:
  value: ExplanationOfBenefit.accident.location[x]
element definition.path:
  value: ExplanationOfBenefit.accident.location[x]
element definition.short:
  value: Accident Place
element definition.definition:
  value: Where the accident occurred.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.accident.location[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Address
element definition.type:
  index: 1
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Location

index: 97
element.id:
  value: ExplanationOfBenefit.employmentImpacted
element definition.path:
  value: ExplanationOfBenefit.employmentImpacted
element definition.short:
  value: Period unable to work
element definition.definition:
  value: The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.employmentImpacted
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Period

index: 98
element.id:
  value: ExplanationOfBenefit.hospitalization
element definition.path:
  value: ExplanationOfBenefit.hospitalization
element definition.short:
  value: Period in hospital
element definition.definition:
  value: The start and optional end dates of when the patient was confined to a treatment center.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.hospitalization
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Period

index: 99
element.id:
  value: ExplanationOfBenefit.item
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Item
element definition.path:
  value: ExplanationOfBenefit.item
element definition.short:
  value: Goods and Services
element definition.definition:
  value: First tier of goods and services.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true

index: 100
element.id:
  value: ExplanationOfBenefit.item.id
element definition.path:
  value: ExplanationOfBenefit.item.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 101
element.id:
  value: ExplanationOfBenefit.item.extension
element definition.path:
  value: ExplanationOfBenefit.item.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 102
element.id:
  value: ExplanationOfBenefit.item.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.item.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 103
element.id:
  value: ExplanationOfBenefit.item.sequence
element definition.path:
  value: ExplanationOfBenefit.item.sequence
element definition.short:
  value: Service instance
element definition.definition:
  value: A service line number.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.fixed positive int:
  value: 1
element definition.must support:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F07

index: 104
element.id:
  value: ExplanationOfBenefit.item.careTeamLinkId
element definition.path:
  value: ExplanationOfBenefit.item.careTeamLinkId
element definition.short:
  value: Applicable careteam members
element definition.definition:
  value: Careteam applicable for this service or product line.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.careTeamLinkId
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 105
element.id:
  value: ExplanationOfBenefit.item.diagnosisLinkId
element definition.path:
  value: ExplanationOfBenefit.item.diagnosisLinkId
element definition.short:
  value: Applicable diagnoses
element definition.definition:
  value: Diagnosis applicable for this service or product line.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.diagnosisLinkId
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 106
element.id:
  value: ExplanationOfBenefit.item.procedureLinkId
element definition.path:
  value: ExplanationOfBenefit.item.procedureLinkId
element definition.short:
  value: Applicable procedures
element definition.definition:
  value: Procedures applicable for this service or product line.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.procedureLinkId
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 107
element.id:
  value: ExplanationOfBenefit.item.informationLinkId
element definition.path:
  value: ExplanationOfBenefit.item.informationLinkId
element definition.short:
  value: Applicable exception and supporting information
element definition.definition:
  value: Exceptions, special conditions and supporting information pplicable for this service or product line.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.informationLinkId
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 108
element.id:
  value: ExplanationOfBenefit.item.revenue
element definition.path:
  value: ExplanationOfBenefit.item.revenue
element definition.short:
  value: Revenue or cost center code
element definition.definition:
  value: The type of reveneu or cost center providing the product and/or service.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.revenue
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RevenueCenter
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes for the revenue or cost centers supplying the service and/or products.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/ex-revenue-center
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/ex-revenue-center

index: 109
element.id:
  value: ExplanationOfBenefit.item.category
element definition.path:
  value: ExplanationOfBenefit.item.category
element definition.short:
  value: Type of service or product
element definition.definition:
  value: Health Care Service Type Codes to identify the classification of service or benefits.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.category
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.must support:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: extensible
  element definition.binding.value set reference:
    link: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1
    reference.reference:
      value: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1

index: 110
element.id:
  value: ExplanationOfBenefit.item.service
element definition.path:
  value: ExplanationOfBenefit.item.service
element definition.short:
  value: Billing Code
element definition.definition:
  value: If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.service
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.must support:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: required
  element definition.binding.value set reference:
    link: https://healthterminologies.gov.au/fhir/ValueSet/australian-dhs-modifications-pbs-mbs-dva-item-1
    reference.reference:
      value: https://healthterminologies.gov.au/fhir/ValueSet/australian-dhs-modifications-pbs-mbs-dva-item-1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F06

index: 111
element.id:
  value: ExplanationOfBenefit.item.modifier
element definition.path:
  value: ExplanationOfBenefit.item.modifier
element definition.short:
  value: Service/Product billing modifiers
element definition.definition:
  value: Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.
element definition.requirements:
  value: May impact on adjudication.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.modifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Modifiers
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/claim-modifiers
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/claim-modifiers
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F16 (required field for Oral) and F05

index: 112
element.id:
  value: ExplanationOfBenefit.item.programCode
element definition.path:
  value: ExplanationOfBenefit.item.programCode
element definition.short:
  value: Program specific reason for item inclusion
element definition.definition:
  value: For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.programCode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProgramCode
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Program specific reason codes
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/ex-program-code
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/ex-program-code

index: 113
element.id:
  value: ExplanationOfBenefit.item.serviced[x]
element definition.path:
  value: ExplanationOfBenefit.item.serviced[x]
element definition.short:
  value: Date or dates of Service
element definition.definition:
  value: The date or dates when the enclosed suite of services were performed or completed.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.serviced[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: date
element definition.type:
  index: 1
  element definition.type.code:
    value: Period
element definition.must support:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F09
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: when.done

index: 114
element.id:
  value: ExplanationOfBenefit.item.location[x]
element definition.path:
  value: ExplanationOfBenefit.item.location[x]
element definition.short:
  value: Place of service
element definition.definition:
  value: Where the service was provided.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.location[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.type:
  index: 1
  element definition.type.code:
    value: Address
element definition.type:
  index: 2
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Location
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ServicePlace
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Place where the service is rendered
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/service-place
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/service-place
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: where

index: 115
element.id:
  value: ExplanationOfBenefit.item.quantity
element definition.path:
  value: ExplanationOfBenefit.item.quantity
element definition.short:
  value: Count of Products or Services
element definition.definition:
  value: The number of repetitions of a service or product.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.quantity
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
element definition.must support:
  value: true

index: 116
element.id:
  value: ExplanationOfBenefit.item.unitPrice
element definition.path:
  value: ExplanationOfBenefit.item.unitPrice
element definition.short:
  value: Fee, charge or cost per point
element definition.definition:
  value: If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.unitPrice
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F12

index: 117
element.id:
  value: ExplanationOfBenefit.item.factor
element definition.path:
  value: ExplanationOfBenefit.item.factor
element definition.short:
  value: Price scaling factor
element definition.definition:
  value: 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.
element definition.requirements:
  value: If a fee is present the associated product/service code must be present.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.factor
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: decimal
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F13/F14

index: 118
element.id:
  value: ExplanationOfBenefit.item.net
element definition.path:
  value: ExplanationOfBenefit.item.net
element definition.short:
  value: Total item cost
element definition.definition:
  value: The quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.
element definition.requirements:
  value: If a fee is present the associated product/service code must be present.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.net
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F13/F14

index: 119
element.id:
  value: ExplanationOfBenefit.item.udi
element definition.path:
  value: ExplanationOfBenefit.item.udi
element definition.short:
  value: Unique Device Identifier
element definition.definition:
  value: List of Unique Device Identifiers associated with this line item.
element definition.requirements:
  value: The UDI code and issuer if applicable for the supplied product.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.udi
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device

index: 120
element.id:
  value: ExplanationOfBenefit.item.bodySite
element definition.path:
  value: ExplanationOfBenefit.item.bodySite
element definition.short:
  value: Service Location
element definition.definition:
  value: Physical service site on the patient (limb, tooth, etc).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.bodySite
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: OralSites
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The code for the teeth, quadrant, sextant and arch
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/tooth
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/tooth
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F10

index: 121
element.id:
  value: ExplanationOfBenefit.item.subSite
element definition.path:
  value: ExplanationOfBenefit.item.subSite
element definition.short:
  value: Service Sub-location
element definition.definition:
  value: A region or surface of the site, eg. limb region or tooth surface(s).
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.subSite
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Surface
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The code for the tooth surface and surface combinations
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/surface
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/surface
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F11

index: 122
element.id:
  value: ExplanationOfBenefit.item.encounter
element definition.path:
  value: ExplanationOfBenefit.item.encounter
element definition.short:
  value: Encounters related to this billed item
element definition.definition:
  value: A billed item may include goods or services provided in multiple encounters.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.encounter
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Encounter

index: 123
element.id:
  value: ExplanationOfBenefit.item.noteNumber
element definition.path:
  value: ExplanationOfBenefit.item.noteNumber
element definition.short:
  value: List of note numbers which apply
element definition.definition:
  value: A list of note references to the notes provided below.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.noteNumber
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 124
element.id:
  value: ExplanationOfBenefit.item.adjudication
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Adjudication
element definition.path:
  value: ExplanationOfBenefit.item.adjudication
element definition.short:
  value: Adjudication details
element definition.definition:
  value: The adjudications results.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.adjudication
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 125
element.id:
  value: ExplanationOfBenefit.item.adjudication.id
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 126
element.id:
  value: ExplanationOfBenefit.item.adjudication.extension
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 127
element.id:
  value: ExplanationOfBenefit.item.adjudication.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 128
element.id:
  value: ExplanationOfBenefit.item.adjudication.category
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.category
element definition.short:
  value: Adjudication category such as co-pay, eligible, benefit, etc.
element definition.definition:
  value: Code indicating: Co-Pay, deductable, elegible, benefit, tax, etc.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.adjudication.category
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Adjudication
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The adjudication codes.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/adjudication
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/adjudication

index: 129
element.id:
  value: ExplanationOfBenefit.item.adjudication.reason
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.reason
element definition.short:
  value: Explanation of Adjudication outcome
element definition.definition:
  value: Adjudication reason such as limit reached.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.adjudication.reason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: AdjudicationReason
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Adjudication reason codes.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/adjudication-reason
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/adjudication-reason

index: 130
element.id:
  value: ExplanationOfBenefit.item.adjudication.amount
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.amount
element definition.short:
  value: Monetary amount
element definition.definition:
  value: Monitory amount associated with the code.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.adjudication.amount
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money

index: 131
element.id:
  value: ExplanationOfBenefit.item.adjudication.value
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.value
element definition.short:
  value: Non-monitory value
element definition.definition:
  value: A non-monetary value for example a percentage. Mutually exclusive to the amount element above.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.adjudication.value
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: decimal

index: 132
element.id:
  value: ExplanationOfBenefit.item.detail
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Detail
element definition.path:
  value: ExplanationOfBenefit.item.detail
element definition.short:
  value: Additional items
element definition.definition:
  value: Second tier of goods and services.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 133
element.id:
  value: ExplanationOfBenefit.item.detail.id
element definition.path:
  value: ExplanationOfBenefit.item.detail.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 134
element.id:
  value: ExplanationOfBenefit.item.detail.extension
element definition.path:
  value: ExplanationOfBenefit.item.detail.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 135
element.id:
  value: ExplanationOfBenefit.item.detail.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.item.detail.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 136
element.id:
  value: ExplanationOfBenefit.item.detail.sequence
element definition.path:
  value: ExplanationOfBenefit.item.detail.sequence
element definition.short:
  value: Service instance
element definition.definition:
  value: A service line number.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F07

index: 137
element.id:
  value: ExplanationOfBenefit.item.detail.type
element definition.path:
  value: ExplanationOfBenefit.item.detail.type
element definition.short:
  value: Group or type of product or service
element definition.definition:
  value: The type of product or service.
element definition.comment:
  value: ItemType.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.type
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ItemType
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: Service, Product, Rx Dispense, Rx Compound etc.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode

index: 138
element.id:
  value: ExplanationOfBenefit.item.detail.revenue
element definition.path:
  value: ExplanationOfBenefit.item.detail.revenue
element definition.short:
  value: Revenue or cost center code
element definition.definition:
  value: The type of reveneu or cost center providing the product and/or service.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.revenue
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RevenueCenter
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes for the revenue or cost centers supplying the service and/or products.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/ex-revenue-center
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/ex-revenue-center

index: 139
element.id:
  value: ExplanationOfBenefit.item.detail.category
element definition.path:
  value: ExplanationOfBenefit.item.detail.category
element definition.short:
  value: Type of service or product
element definition.definition:
  value: Health Care Service Type Codes to identify the classification of service or benefits.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.category
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitSubCategory
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Benefit subcategories such as: oral-basic, major, glasses
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/benefit-subcategory
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/benefit-subcategory

index: 140
element.id:
  value: ExplanationOfBenefit.item.detail.service
element definition.path:
  value: ExplanationOfBenefit.item.detail.service
element definition.short:
  value: Billing Code
element definition.definition:
  value: If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.service
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ServiceProduct
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Allowable service and product codes
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/service-uscls
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/service-uscls
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F34/F35

index: 141
element.id:
  value: ExplanationOfBenefit.item.detail.modifier
element definition.path:
  value: ExplanationOfBenefit.item.detail.modifier
element definition.short:
  value: Service/Product billing modifiers
element definition.definition:
  value: Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.
element definition.requirements:
  value: May impact on adjudication.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.modifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Modifiers
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/claim-modifiers
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/claim-modifiers
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F16 (required field for Oral) and F05

index: 142
element.id:
  value: ExplanationOfBenefit.item.detail.programCode
element definition.path:
  value: ExplanationOfBenefit.item.detail.programCode
element definition.short:
  value: Program specific reason for item inclusion
element definition.definition:
  value: For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.programCode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProgramCode
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Program specific reason codes
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/ex-program-code
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/ex-program-code

index: 143
element.id:
  value: ExplanationOfBenefit.item.detail.quantity
element definition.path:
  value: ExplanationOfBenefit.item.detail.quantity
element definition.short:
  value: Count of Products or Services
element definition.definition:
  value: The number of repetitions of a service or product.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.quantity
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/SimpleQuantity

index: 144
element.id:
  value: ExplanationOfBenefit.item.detail.unitPrice
element definition.path:
  value: ExplanationOfBenefit.item.detail.unitPrice
element definition.short:
  value: Fee, charge or cost per point
element definition.definition:
  value: If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group.
element definition.requirements:
  value: If a fee is present the associated product/service code must be present.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.unitPrice
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F13/F14

index: 145
element.id:
  value: ExplanationOfBenefit.item.detail.factor
element definition.path:
  value: ExplanationOfBenefit.item.detail.factor
element definition.short:
  value: Price scaling factor
element definition.definition:
  value: 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.
element definition.requirements:
  value: If a fee is present the associated product/service code must be present.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.factor
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: decimal
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F13/F14

index: 146
element.id:
  value: ExplanationOfBenefit.item.detail.net
element definition.path:
  value: ExplanationOfBenefit.item.detail.net
element definition.short:
  value: Total additional item cost
element definition.definition:
  value: The quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.
element definition.requirements:
  value: If a fee is present the associated product/service code must be present.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.net
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F13/F14

index: 147
element.id:
  value: ExplanationOfBenefit.item.detail.udi
element definition.path:
  value: ExplanationOfBenefit.item.detail.udi
element definition.short:
  value: Unique Device Identifier
element definition.definition:
  value: List of Unique Device Identifiers associated with this line item.
element definition.requirements:
  value: The UDI code and issuer if applicable for the supplied product.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.udi
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device

index: 148
element.id:
  value: ExplanationOfBenefit.item.detail.noteNumber
element definition.path:
  value: ExplanationOfBenefit.item.detail.noteNumber
element definition.short:
  value: List of note numbers which apply
element definition.definition:
  value: A list of note references to the notes provided below.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.noteNumber
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 149
element.id:
  value: ExplanationOfBenefit.item.detail.adjudication
element definition.path:
  value: ExplanationOfBenefit.item.detail.adjudication
element definition.short:
  value: Detail level adjudication details
element definition.definition:
  value: The adjudications results.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.adjudication
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication

index: 150
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: SubDetail
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail
element definition.short:
  value: Additional items
element definition.definition:
  value: Third tier of goods and services.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 151
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.id
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 152
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.extension
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 153
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 154
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.sequence
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.sequence
element definition.short:
  value: Service instance
element definition.definition:
  value: A service line number.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F07

index: 155
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.type
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.type
element definition.short:
  value: Type of product or service
element definition.definition:
  value: The type of product or service.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.type
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ItemType
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: Service, Product, Rx Dispense, Rx Compound etc.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode

index: 156
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.revenue
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.revenue
element definition.short:
  value: Revenue or cost center code
element definition.definition:
  value: The type of reveneu or cost center providing the product and/or service.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.revenue
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RevenueCenter
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes for the revenue or cost centers supplying the service and/or products.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/ex-revenue-center
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/ex-revenue-center

index: 157
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.category
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.category
element definition.short:
  value: Type of service or product
element definition.definition:
  value: Health Care Service Type Codes to identify the classification of service or benefits.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.category
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitSubCategory
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Benefit subcategories such as: oral-basic, major, glasses
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/benefit-subcategory
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/benefit-subcategory

index: 158
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.service
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.service
element definition.short:
  value: Billing Code
element definition.definition:
  value: A code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.service
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ServiceProduct
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Allowable service and product codes
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/service-uscls
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/service-uscls
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F34/F35

index: 159
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.modifier
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.modifier
element definition.short:
  value: Service/Product billing modifiers
element definition.definition:
  value: Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.
element definition.requirements:
  value: May impact on adjudication.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.modifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Modifiers
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/claim-modifiers
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/claim-modifiers
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F16 (required field for Oral) and F05

index: 160
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.programCode
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.programCode
element definition.short:
  value: Program specific reason for item inclusion
element definition.definition:
  value: For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.programCode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProgramCode
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Program specific reason codes
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/ex-program-code
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/ex-program-code

index: 161
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.quantity
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.quantity
element definition.short:
  value: Count of Products or Services
element definition.definition:
  value: The number of repetitions of a service or product.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.quantity
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/SimpleQuantity

index: 162
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.unitPrice
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.unitPrice
element definition.short:
  value: Fee, charge or cost per point
element definition.definition:
  value: The fee for an addittional service or product or charge.
element definition.requirements:
  value: If a fee is present the associated product/service code must be present.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.unitPrice
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F13/F14

index: 163
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.factor
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.factor
element definition.short:
  value: Price scaling factor
element definition.definition:
  value: 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.
element definition.requirements:
  value: If a fee is present the associated product/service code must be present.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.factor
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: decimal
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F13/F14

index: 164
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.net
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.net
element definition.short:
  value: Net additional item cost
element definition.definition:
  value: The quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.
element definition.requirements:
  value: If a fee is present the associated product/service code must be present.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.net
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F13/F14

index: 165
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.udi
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.udi
element definition.short:
  value: Unique Device Identifier
element definition.definition:
  value: List of Unique Device Identifiers associated with this line item.
element definition.requirements:
  value: The UDI code and issuer if applicable for the supplied product.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.udi
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device

index: 166
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.noteNumber
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.noteNumber
element definition.short:
  value: List of note numbers which apply
element definition.definition:
  value: A list of note references to the notes provided below.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.noteNumber
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 167
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.adjudication
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.adjudication
element definition.short:
  value: Language if different from the resource
element definition.definition:
  value: The adjudications results.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.adjudication
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication

index: 168
element.id:
  value: ExplanationOfBenefit.addItem
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: AddedItem
element definition.path:
  value: ExplanationOfBenefit.addItem
element definition.short:
  value: Insurer added line items
element definition.definition:
  value: The first tier service adjudications for payor added services.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 169
element.id:
  value: ExplanationOfBenefit.addItem.id
element definition.path:
  value: ExplanationOfBenefit.addItem.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 170
element.id:
  value: ExplanationOfBenefit.addItem.extension
element definition.path:
  value: ExplanationOfBenefit.addItem.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 171
element.id:
  value: ExplanationOfBenefit.addItem.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.addItem.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 172
element.id:
  value: ExplanationOfBenefit.addItem.sequenceLinkId
element definition.path:
  value: ExplanationOfBenefit.addItem.sequenceLinkId
element definition.short:
  value: Service instances
element definition.definition:
  value: List of input service items which this service line is intended to replace.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.sequenceLinkId
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 173
element.id:
  value: ExplanationOfBenefit.addItem.revenue
element definition.path:
  value: ExplanationOfBenefit.addItem.revenue
element definition.short:
  value: Revenue or cost center code
element definition.definition:
  value: The type of reveneu or cost center providing the product and/or service.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.revenue
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RevenueCenter
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes for the revenue or cost centers supplying the service and/or products.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/ex-revenue-center
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/ex-revenue-center

index: 174
element.id:
  value: ExplanationOfBenefit.addItem.category
element definition.path:
  value: ExplanationOfBenefit.addItem.category
element definition.short:
  value: Type of service or product
element definition.definition:
  value: Health Care Service Type Codes to identify the classification of service or benefits.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.category
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitSubCategory
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Benefit subcategories such as: oral-basic, major, glasses
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/benefit-subcategory
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/benefit-subcategory
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F06

index: 175
element.id:
  value: ExplanationOfBenefit.addItem.service
element definition.path:
  value: ExplanationOfBenefit.addItem.service
element definition.short:
  value: Billing Code
element definition.definition:
  value: If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.service
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ServiceProduct
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Allowable service and product codes
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/service-uscls
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/service-uscls

index: 176
element.id:
  value: ExplanationOfBenefit.addItem.modifier
element definition.path:
  value: ExplanationOfBenefit.addItem.modifier
element definition.short:
  value: Service/Product billing modifiers
element definition.definition:
  value: Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.
element definition.requirements:
  value: May impact on adjudication.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.modifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Modifiers
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/claim-modifiers
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/claim-modifiers
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F16 (required field for Oral) and F05

index: 177
element.id:
  value: ExplanationOfBenefit.addItem.fee
element definition.path:
  value: ExplanationOfBenefit.addItem.fee
element definition.short:
  value: Professional fee or Product charge
element definition.definition:
  value: The fee charged for the professional service or product.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.fee
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money

index: 178
element.id:
  value: ExplanationOfBenefit.addItem.noteNumber
element definition.path:
  value: ExplanationOfBenefit.addItem.noteNumber
element definition.short:
  value: List of note numbers which apply
element definition.definition:
  value: A list of note references to the notes provided below.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.noteNumber
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 179
element.id:
  value: ExplanationOfBenefit.addItem.adjudication
element definition.path:
  value: ExplanationOfBenefit.addItem.adjudication
element definition.short:
  value: Added items adjudication
element definition.definition:
  value: The adjudications results.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.adjudication
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication

index: 180
element.id:
  value: ExplanationOfBenefit.addItem.detail
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: AddedItemsDetail
element definition.path:
  value: ExplanationOfBenefit.addItem.detail
element definition.short:
  value: Added items details
element definition.definition:
  value: The second tier service adjudications for payor added services.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.detail
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 181
element.id:
  value: ExplanationOfBenefit.addItem.detail.id
element definition.path:
  value: ExplanationOfBenefit.addItem.detail.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 182
element.id:
  value: ExplanationOfBenefit.addItem.detail.extension
element definition.path:
  value: ExplanationOfBenefit.addItem.detail.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 183
element.id:
  value: ExplanationOfBenefit.addItem.detail.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.addItem.detail.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 184
element.id:
  value: ExplanationOfBenefit.addItem.detail.revenue
element definition.path:
  value: ExplanationOfBenefit.addItem.detail.revenue
element definition.short:
  value: Revenue or cost center code
element definition.definition:
  value: The type of reveneu or cost center providing the product and/or service.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.detail.revenue
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RevenueCenter
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes for the revenue or cost centers supplying the service and/or products.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/ex-revenue-center
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/ex-revenue-center

index: 185
element.id:
  value: ExplanationOfBenefit.addItem.detail.category
element definition.path:
  value: ExplanationOfBenefit.addItem.detail.category
element definition.short:
  value: Type of service or product
element definition.definition:
  value: Health Care Service Type Codes to identify the classification of service or benefits.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.detail.category
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitSubCategory
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Benefit subcategories such as: oral-basic, major, glasses
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/benefit-subcategory
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/benefit-subcategory
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F06

index: 186
element.id:
  value: ExplanationOfBenefit.addItem.detail.service
element definition.path:
  value: ExplanationOfBenefit.addItem.detail.service
element definition.short:
  value: Billing Code
element definition.definition:
  value: A code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.detail.service
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ServiceProduct
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Allowable service and product codes
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/service-uscls
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/service-uscls

index: 187
element.id:
  value: ExplanationOfBenefit.addItem.detail.modifier
element definition.path:
  value: ExplanationOfBenefit.addItem.detail.modifier
element definition.short:
  value: Service/Product billing modifiers
element definition.definition:
  value: Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.
element definition.requirements:
  value: May impact on adjudication.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.detail.modifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Modifiers
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/claim-modifiers
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/claim-modifiers
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: F16 (required field for Oral) and F05

index: 188
element.id:
  value: ExplanationOfBenefit.addItem.detail.fee
element definition.path:
  value: ExplanationOfBenefit.addItem.detail.fee
element definition.short:
  value: Professional fee or Product charge
element definition.definition:
  value: The fee charged for the professional service or product.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.detail.fee
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money

index: 189
element.id:
  value: ExplanationOfBenefit.addItem.detail.noteNumber
element definition.path:
  value: ExplanationOfBenefit.addItem.detail.noteNumber
element definition.short:
  value: List of note numbers which apply
element definition.definition:
  value: A list of note references to the notes provided below.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.detail.noteNumber
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 190
element.id:
  value: ExplanationOfBenefit.addItem.detail.adjudication
element definition.path:
  value: ExplanationOfBenefit.addItem.detail.adjudication
element definition.short:
  value: Added items detail adjudication
element definition.definition:
  value: The adjudications results.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.detail.adjudication
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication

index: 191
element.id:
  value: ExplanationOfBenefit.totalCost
element definition.path:
  value: ExplanationOfBenefit.totalCost
element definition.short:
  value: Total Cost of service from the Claim
element definition.definition:
  value: The total cost of the services reported.
element definition.requirements:
  value: This is a check value that the receiver calculates and returns.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.totalCost
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money

index: 192
element.id:
  value: ExplanationOfBenefit.unallocDeductable
element definition.path:
  value: ExplanationOfBenefit.unallocDeductable
element definition.short:
  value: Unallocated deductable
element definition.definition:
  value: The amount of deductable applied which was not allocated to any particular service line.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.unallocDeductable
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money

index: 193
element.id:
  value: ExplanationOfBenefit.totalBenefit
element definition.path:
  value: ExplanationOfBenefit.totalBenefit
element definition.short:
  value: Total benefit payable for the Claim
element definition.definition:
  value: Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductable).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.totalBenefit
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money

index: 194
element.id:
  value: ExplanationOfBenefit.payment
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Payment
element definition.path:
  value: ExplanationOfBenefit.payment
element definition.short:
  value: Payment (if paid)
element definition.definition:
  value: Payment details for the claim if the claim has been paid.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payment
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 195
element.id:
  value: ExplanationOfBenefit.payment.id
element definition.path:
  value: ExplanationOfBenefit.payment.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 196
element.id:
  value: ExplanationOfBenefit.payment.extension
element definition.path:
  value: ExplanationOfBenefit.payment.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 197
element.id:
  value: ExplanationOfBenefit.payment.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.payment.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 198
element.id:
  value: ExplanationOfBenefit.payment.type
element definition.path:
  value: ExplanationOfBenefit.payment.type
element definition.short:
  value: Partial or Complete
element definition.definition:
  value: Whether this represents partial or complete payment of the claim.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payment.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: PaymentType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The type (partial, complete) of the payment
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/ex-paymenttype
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/ex-paymenttype

index: 199
element.id:
  value: ExplanationOfBenefit.payment.adjustment
element definition.path:
  value: ExplanationOfBenefit.payment.adjustment
element definition.short:
  value: Payment adjustment for non-Claim issues
element definition.definition:
  value: Adjustment to the payment of this transaction which is not related to adjudication of this transaction.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payment.adjustment
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money

index: 200
element.id:
  value: ExplanationOfBenefit.payment.adjustmentReason
element definition.path:
  value: ExplanationOfBenefit.payment.adjustmentReason
element definition.short:
  value: Explanation for the non-claim adjustment
element definition.definition:
  value: Reason for the payment adjustment.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payment.adjustmentReason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: PaymentAdjustmentReason
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Payment Adjustment reason codes.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/payment-adjustment-reason
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/payment-adjustment-reason

index: 201
element.id:
  value: ExplanationOfBenefit.payment.date
element definition.path:
  value: ExplanationOfBenefit.payment.date
element definition.short:
  value: Expected date of Payment
element definition.definition:
  value: Estimated payment date.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payment.date
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: date

index: 202
element.id:
  value: ExplanationOfBenefit.payment.amount
element definition.path:
  value: ExplanationOfBenefit.payment.amount
element definition.short:
  value: Payable amount after adjustment
element definition.definition:
  value: Payable less any payment adjustment.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payment.amount
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money

index: 203
element.id:
  value: ExplanationOfBenefit.payment.identifier
element definition.path:
  value: ExplanationOfBenefit.payment.identifier
element definition.short:
  value: Identifier of the payment instrument
element definition.definition:
  value: Payment identifer.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payment.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: G01, B.23

index: 204
element.id:
  value: ExplanationOfBenefit.form
element definition.path:
  value: ExplanationOfBenefit.form
element definition.short:
  value: Printed Form Identifier
element definition.definition:
  value: The form to be used for printing the content.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.form
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Forms
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    extension.value boolean:
      value: true
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The forms codes.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/forms
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/forms
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: G42

index: 205
element.id:
  value: ExplanationOfBenefit.processNote
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Note
element definition.path:
  value: ExplanationOfBenefit.processNote
element definition.short:
  value: Processing notes
element definition.definition:
  value: Note text.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.processNote
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 206
element.id:
  value: ExplanationOfBenefit.processNote.id
element definition.path:
  value: ExplanationOfBenefit.processNote.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 207
element.id:
  value: ExplanationOfBenefit.processNote.extension
element definition.path:
  value: ExplanationOfBenefit.processNote.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 208
element.id:
  value: ExplanationOfBenefit.processNote.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.processNote.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 209
element.id:
  value: ExplanationOfBenefit.processNote.number
element definition.path:
  value: ExplanationOfBenefit.processNote.number
element definition.short:
  value: Sequence number for this note
element definition.definition:
  value: An integer associated with each note which may be referred to from each service line item.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.processNote.number
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt

index: 210
element.id:
  value: ExplanationOfBenefit.processNote.type
element definition.path:
  value: ExplanationOfBenefit.processNote.type
element definition.short:
  value: display | print | printoper
element definition.definition:
  value: The note purpose: Print/Display.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.processNote.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: NoteType
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    extension.value boolean:
      value: true
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The presentation types of notes.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/note-type
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/note-type

index: 211
element.id:
  value: ExplanationOfBenefit.processNote.text
element definition.path:
  value: ExplanationOfBenefit.processNote.text
element definition.short:
  value: Note explanitory text
element definition.definition:
  value: The note text.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.processNote.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: cdanetv4
  element definition.mapping.map:
    value: G32

index: 212
element.id:
  value: ExplanationOfBenefit.processNote.language
element definition.path:
  value: ExplanationOfBenefit.processNote.language
element definition.short:
  value: Language if different from the resource
element definition.definition:
  value: The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.processNote.language
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
    extension.value reference:
      link: http://hl7.org/fhir/ValueSet/all-languages
      reference.reference:
        value: http://hl7.org/fhir/ValueSet/all-languages
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Language
  element.extension:
    index: 2
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    extension.value boolean:
      value: true
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: A human language.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/languages
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/languages

index: 213
element.id:
  value: ExplanationOfBenefit.benefitBalance
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: BenefitBalance
element definition.path:
  value: ExplanationOfBenefit.benefitBalance
element definition.short:
  value: Balance by Benefit Category
element definition.definition:
  value: Balance by Benefit Category.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 214
element.id:
  value: ExplanationOfBenefit.benefitBalance.id
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 215
element.id:
  value: ExplanationOfBenefit.benefitBalance.extension
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 216
element.id:
  value: ExplanationOfBenefit.benefitBalance.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 217
element.id:
  value: ExplanationOfBenefit.benefitBalance.category
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.category
element definition.short:
  value: Type of services covered
element definition.definition:
  value: Dental, Vision, Medical, Pharmacy, Rehab etc.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.category
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitCategory
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Benefit categories such as: oral, medical, vision etc.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/benefit-category
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/benefit-category

index: 218
element.id:
  value: ExplanationOfBenefit.benefitBalance.subCategory
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.subCategory
element definition.short:
  value: Detailed services covered within the type
element definition.definition:
  value: Dental: basic, major, ortho; Vision exam, glasses, contacts; etc.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.subCategory
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitSubCategory
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Benefit subcategories such as: oral-basic, major, glasses
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/benefit-subcategory
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/benefit-subcategory

index: 219
element.id:
  value: ExplanationOfBenefit.benefitBalance.excluded
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.excluded
element definition.short:
  value: Excluded from the plan
element definition.definition:
  value: True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.excluded
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: boolean

index: 220
element.id:
  value: ExplanationOfBenefit.benefitBalance.name
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.name
element definition.short:
  value: Short name for the benefit
element definition.definition:
  value: A short name or tag for the benefit, for example MED01, or DENT2.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.name
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string

index: 221
element.id:
  value: ExplanationOfBenefit.benefitBalance.description
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.description
element definition.short:
  value: Description of the benefit or services covered
element definition.definition:
  value: A richer description of the benefit, for example 'DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services'.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.description
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string

index: 222
element.id:
  value: ExplanationOfBenefit.benefitBalance.network
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.network
element definition.short:
  value: In or out of network
element definition.definition:
  value: Network designation.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.network
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitNetwork
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Code to classify in or out of network services
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/benefit-network
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/benefit-network

index: 223
element.id:
  value: ExplanationOfBenefit.benefitBalance.unit
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.unit
element definition.short:
  value: Individual or family
element definition.definition:
  value: Unit designation: individual or family.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.unit
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitUnit
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Unit covered/serviced - individual or family
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/benefit-unit
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/benefit-unit

index: 224
element.id:
  value: ExplanationOfBenefit.benefitBalance.term
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.term
element definition.short:
  value: Annual or lifetime
element definition.definition:
  value: The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual vistis'.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.term
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitTerm
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Coverage unit - annual, lifetime
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/benefit-term
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/benefit-term

index: 225
element.id:
  value: ExplanationOfBenefit.benefitBalance.financial
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Benefit
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.financial
element definition.short:
  value: Benefit Summary
element definition.definition:
  value: Benefits Used to date.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.financial
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() | (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element

index: 226
element.id:
  value: ExplanationOfBenefit.benefitBalance.financial.id
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.financial.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: xml:id (or equivalent in JSON)
element definition.definition:
  value: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 227
element.id:
  value: ExplanationOfBenefit.benefitBalance.financial.extension
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.financial.extension
element definition.short:
  value: Additional Content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 228
element.id:
  value: ExplanationOfBenefit.benefitBalance.financial.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.financial.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.is modifier:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 229
element.id:
  value: ExplanationOfBenefit.benefitBalance.financial.type
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.financial.type
element definition.short:
  value: Deductable, visits, benefit amount
element definition.definition:
  value: Deductable, visits, benefit amount.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.financial.type
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Deductable, visits, co-pay, etc.
  element definition.binding.value set reference:
    link: http://hl7.org/fhir/ValueSet/benefit-type
    reference.reference:
      value: http://hl7.org/fhir/ValueSet/benefit-type

index: 230
element.id:
  value: ExplanationOfBenefit.benefitBalance.financial.allowed[x]
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.financial.allowed[x]
element definition.short:
  value: Benefits allowed
element definition.definition:
  value: Benefits allowed.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.financial.allowed[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: unsignedInt
element definition.type:
  index: 1
  element definition.type.code:
    value: string
element definition.type:
  index: 2
  element definition.type.code:
    value: Money

index: 231
element.id:
  value: ExplanationOfBenefit.benefitBalance.financial.used[x]
element definition.path:
  value: ExplanationOfBenefit.benefitBalance.financial.used[x]
element definition.short:
  value: Benefits used
element definition.definition:
  value: Benefits used.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.benefitBalance.financial.used[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: unsignedInt
element definition.type:
  index: 1
  element definition.type.code:
    value: Money

structure definition.differential.element:
  index: 0
  element.id:
    value: ExplanationOfBenefit
  element definition.path:
    value: ExplanationOfBenefit
  element definition.constraint:
    index: 0
    element definition.constraint.key:
      value: inv-dh-eob-01
    element definition.constraint.severity:
      value: error
    element definition.constraint.human:
      value: A PBS or RPBS claim SHALL include a prescription.
    element definition.constraint.expression:
      value: prescription.exists() implies (subType.coding.code='pbs' or subType.coding.code='rpbs' or item.category.coding.code='pbs' or item.category.coding.code='rpbs')
  element definition.constraint:
    index: 1
    element definition.constraint.key:
      value: inv-dh-eob-02
    element definition.constraint.severity:
      value: error
    element definition.constraint.human:
      value: A MBS or DVABS claim SHALL NOT include a prescription.
    element definition.constraint.expression:
      value: prescription.empty() implies (subType.coding.code='mbs' or subType.coding.code='dva' or item.category.coding.code='mbs' or item.category.coding.code='dva')
  element definition.constraint:
    index: 2
    element definition.constraint.key:
      value: inv-dh-eob-03
    element definition.constraint.severity:
      value: error
    element definition.constraint.human:
      value: One of subType or item.category SHALL be present.
    element definition.constraint.expression:
      value: subType.exists() or item.category.exists()
  element definition.constraint:
    index: 3
    element definition.constraint.key:
      value: inv-dh-eob-04
    element definition.constraint.severity:
      value: error
    element definition.constraint.human:
      value: A PBS claim SHALL be of type 'Pharmacy' (type='pharmacy').
    element definition.constraint.expression:
      value: prescription.exists() implies type.coding.code='pharmacy'
  element definition.constraint:
    index: 4
    element definition.constraint.key:
      value: inv-dh-eob-05
    element definition.constraint.severity:
      value: error
    element definition.constraint.human:
      value: One meta.profile SHALL have value 'http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare'.
    element definition.constraint.expression:
      value: meta.profile.where($this='http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare').exists()
structure definition.differential.element:
  index: 1
  element.id:
    value: ExplanationOfBenefit.meta
  element definition.path:
    value: ExplanationOfBenefit.meta
  element definition.min:
    value: 1
structure definition.differential.element:
  index: 2
  element.id:
    value: ExplanationOfBenefit.meta.profile
  element definition.path:
    value: ExplanationOfBenefit.meta.profile
  element definition.min:
    value: 1
structure definition.differential.element:
  index: 3
  element.id:
    value: ExplanationOfBenefit.identifier
  element definition.path:
    value: ExplanationOfBenefit.identifier
  element definition.min:
    value: 1
  element definition.max:
    value: 1
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 4
  element.id:
    value: ExplanationOfBenefit.status
  element definition.path:
    value: ExplanationOfBenefit.status
  element definition.fixed code:
    value: active
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 5
  element.id:
    value: ExplanationOfBenefit.type
  element definition.path:
    value: ExplanationOfBenefit.type
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 6
  element.id:
    value: ExplanationOfBenefit.subType
  element definition.path:
    value: ExplanationOfBenefit.subType
  element definition.must support:
    value: true
  element definition.binding:
    element definition.binding.strength:
      value: required
    element definition.binding.value set uri:
      value: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1
structure definition.differential.element:
  index: 7
  element.id:
    value: ExplanationOfBenefit.patient
  element definition.path:
    value: ExplanationOfBenefit.patient
  element definition.min:
    value: 1
  element definition.type:
    index: 0
    element definition.type.code:
      value: Reference
    element definition.type.target profile:
      value: http://hl7.org.au/fhir/StructureDefinition/au-patient
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 8
  element.id:
    value: ExplanationOfBenefit.created
  element definition.path:
    value: ExplanationOfBenefit.created
  element definition.min:
    value: 1
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 9
  element.id:
    value: ExplanationOfBenefit.insurer
  element definition.path:
    value: ExplanationOfBenefit.insurer
  element definition.type:
    index: 0
    element definition.type.code:
      value: Reference
    element definition.type.target profile:
      value: http://hl7.org.au/fhir/StructureDefinition/au-organisation
structure definition.differential.element:
  index: 10
  element.id:
    value: ExplanationOfBenefit.provider
  element definition.path:
    value: ExplanationOfBenefit.provider
  element definition.type:
    index: 0
    element definition.type.code:
      value: Reference
    element definition.type.target profile:
      value: http://hl7.org.au/fhir/StructureDefinition/au-practitioner
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 11
  element.id:
    value: ExplanationOfBenefit.organization
  element definition.path:
    value: ExplanationOfBenefit.organization
  element definition.type:
    index: 0
    element definition.type.code:
      value: Reference
    element definition.type.target profile:
      value: http://hl7.org.au/fhir/StructureDefinition/au-organisation
structure definition.differential.element:
  index: 12
  element.id:
    value: ExplanationOfBenefit.prescription
  element definition.path:
    value: ExplanationOfBenefit.prescription
  element definition.type:
    index: 0
    element definition.type.code:
      value: Reference
    element definition.type.target profile:
      value: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/medicationrequest-pbs
    element definition.type.aggregation:
      value: contained
      index: 0
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 13
  element.id:
    value: ExplanationOfBenefit.item
  element definition.path:
    value: ExplanationOfBenefit.item

value: 1

value: 1

value: true

index: 14
element.id:
  value: ExplanationOfBenefit.item.sequence
element definition.path:
  value: ExplanationOfBenefit.item.sequence
element definition.fixed positive int:
  value: 1
element definition.must support:
  value: true

index: 15
element.id:
  value: ExplanationOfBenefit.item.category
element definition.path:
  value: ExplanationOfBenefit.item.category
element definition.must support:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: extensible
  element definition.binding.value set uri:
    value: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1

index: 16
element.id:
  value: ExplanationOfBenefit.item.service
element definition.path:
  value: ExplanationOfBenefit.item.service
element definition.min:
  value: 1
element definition.must support:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: required
  element definition.binding.value set uri:
    value: https://healthterminologies.gov.au/fhir/ValueSet/australian-dhs-modifications-pbs-mbs-dva-item-1

index: 17
element.id:
  value: ExplanationOfBenefit.item.serviced[x]
element definition.path:
  value: ExplanationOfBenefit.item.serviced[x]
element definition.min:
  value: 1
element definition.must support:
  value: true

index: 18
element.id:
  value: ExplanationOfBenefit.item.quantity
element definition.path:
  value: ExplanationOfBenefit.item.quantity
element definition.must support:
  value: true